Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › GARDEN CITY › PLAZA PHARMACY, INC

PLAZA PHARMACY, INC

NPI: 1770679714 · GARDEN CITY, KS 67846 · 3336C0003X

$1K
Total Medicaid Paid
179
Total Claims
179
Beneficiaries
7
Codes Billed
2021-02
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 60 $200.00
2022 25 $120.00
2023 94 $718.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 24 24 $647.80
0064A 57 57 $320.00
90480 24 24 $50.00
90686 22 22 $20.53
G0008 Admin influenza virus vac 24 24 $0.00
0012A 14 14 $0.00
0011A 14 14 $0.00