Medicaid Provider Spending

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

ANDERIS APOTHECARY LLC

NPI: 1770809253 · TOPEKA, KS 66615 · Pharmacy · NPI assigned 04/09/2010

$284.30
Total Medicaid Paid
190
Total Claims
190
Beneficiaries
10
Codes Billed
2021-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHARRIS, LESLEY (LLC MEMBER/PHARMACIST)
NPI Enumeration Date04/09/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 72 $0.00
2022 56 $0.00
2023 38 $284.30
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 25 25 $256.00
90480 13 13 $28.30
0051A 13 13 $0.00
0011A 19 19 $0.00
G0008 Administration of influenza virus vaccine 40 40 $0.00
0012A 18 18 $0.00
90694 14 14 $0.00
0064A 14 14 $0.00
0124A 13 13 $0.00
0004A 21 21 $0.00