Medicaid Provider Spending

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

NPI: 1750793568 · LAS MARIAS, PR 00670 · Community/Retail Pharmacy · NPI assigned 05/28/2014

$3K
Total Medicaid Paid
356
Total Claims
288
Beneficiaries
3
Codes Billed
2018-03
First Month
2019-12
Last Month

Provider Details

Authorized OfficialRIVERA CRESPO, MILDRED (PRESIDENT)
NPI Enumeration Date05/28/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168 $1K
2019 188 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 170 137 $3K
G0008 Administration of influenza virus vaccine 172 137 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00