Medicaid Provider Spending

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

FARMACIA SAN JOSE LLC

NPI: 1699763326 · LARES, PR 00669 · 3336C0003X

$12K

Total Medicaid Paid

1,363

Total Claims

1,141

Beneficiaries

6

Codes Billed

2018-02

First Month

2021-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	804	$6K
2019	384	$5K
2020	110	$284.15
2021	65	$272.88

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90670		42	37	$3K
90471		620	491	$3K
90686		451	401	$3K
90732		60	56	$2K
90472		154	120	$715.78
90715		36	36	$12.00