Medicaid Provider Spending

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

NPI: 1760916472 · CAYEY, PR 00737 · Community/Retail Pharmacy · NPI assigned 04/19/2017

$6K
Total Medicaid Paid
162
Total Claims
134
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-05
Last Month

Provider Details

Authorized OfficialRIVERA, IVAN (PRESIDENT)
NPI Enumeration Date04/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 162 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 81 67 $3K
0011A 81 67 $3K