Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › FORT LEE › ROYAL PLAZA DRUG LLC

ROYAL PLAZA DRUG LLC

NPI: 1700375292 · FORT LEE, NJ 07024 · 332B00000X

$40.00
Total Medicaid Paid
91
Total Claims
91
Beneficiaries
5
Codes Billed
2021-11
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $40.00
2022 64 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0003A 27 27 $40.00
0054A 22 22 $0.00
G0008 Admin influenza virus vac 14 14 $0.00
K1034 Covid test self-admn/collect 15 15 $0.00
90694 13 13 $0.00