Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SANTA MARIA PHARMACY INC

NPI: 1689828022 · BROOKLYN, NY 11211 · Pharmacy · NPI assigned 11/12/2008

$882.50
Total Medicaid Paid
116
Total Claims
113
Beneficiaries
1
Codes Billed
2019-07
First Month
2020-04
Last Month

Provider Details

Authorized OfficialARAMANYOUS, SAFAA (OFFICER)
NPI Enumeration Date11/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 75 $580.02
2020 41 $302.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4259 Lancets, per box of 100 116 113 $882.50