Medicaid Provider Spending

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

NPI: 1730795873 · CHARLOTTE, NC 28209 · Community/Retail Pharmacy · NPI assigned 09/22/2020

$16K
Total Medicaid Paid
2,148
Total Claims
1,887
Beneficiaries
6
Codes Billed
2022-04
First Month
2023-01
Last Month

Provider Details

Authorized OfficialHOWARD, SAMANTHA (PHARMACIST)
Parent OrganizationVAXCLINIC, LLC
NPI Enumeration Date09/22/2020

Related Entities

Other providers sharing the same authorized official: HOWARD, SAMANTHA

ProviderCityStateTotal Paid
DR. SAMANTHA HOWARD, DMD, PC DOUBLE SPRINGS AL $161K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,130 $16K
2023 18 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 250 216 $8K
0124A 1,014 901 $8K
0054A 36 31 $715.00
G0008 Administration of influenza virus vaccine 413 359 $0.00
0134A 26 24 $0.00
90686 409 356 $0.00