Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PLAZA DRUG OF LONDON LLC

NPI: 1770904989 · LONDON, KY 40741 · Long Term Care Pharmacy · NPI assigned 12/16/2013

$428.27
Total Medicaid Paid
138
Total Claims
134
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialSIZEMORE, MICHAEL (OWNER)
NPI Enumeration Date12/16/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85 $291.45
2019 41 $120.16
2020 12 $16.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 112 108 $428.27
90674 13 13 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00