Medicaid Provider Spending

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

SANTOS GONZALEZ DBA FRED'S PHARMACY

NPI: 1740274091 · FALFURRIAS, TX 78355 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/01/2005

$5K
Total Medicaid Paid
314
Total Claims
314
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialGONZALEZ, SANTOS (OWNER/ PIC)
NPI Enumeration Date09/01/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 257 $5K
2019 57 $324.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 79 79 $4K
A4335 Incontinence supply; miscellaneous 235 235 $1K