Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MESA PHARMACY OF PUEBLO, INC.

NPI: 1710097969 · PUEBLO, CO 81006 · Pharmacist · NPI assigned 08/30/2006

$4K
Total Medicaid Paid
437
Total Claims
429
Beneficiaries
5
Codes Billed
2020-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialFRANTZ, MARGARET (PHARMACY MANAGER)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 18 $246.89
2021 419 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 105 105 $2K
0011A 73 72 $1K
0013A 13 13 $507.66
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 18 17 $246.89
91301 228 222 $0.00