Medicaid Provider Spending

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

HAZELWOOD PHARMACY LLC

NPI: 1770104192 · HAZEL PARK, MI 48030 · Pharmacy · NPI assigned 04/27/2020

$4K
Total Medicaid Paid
119
Total Claims
114
Beneficiaries
3
Codes Billed
2022-04
First Month
2022-06
Last Month

Provider Details

Authorized OfficialSUEDE, SAED (OWNER)
NPI Enumeration Date04/27/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 119 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 37 37 $2K
99607 68 64 $2K
99606 14 13 $350.00