Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CARP888

NPI: 1790203040 · EDISON, NJ 08817 · Community/Retail Pharmacy · NPI assigned 09/07/2017

$0.00
Total Medicaid Paid
261
Total Claims
235
Beneficiaries
6
Codes Billed
2021-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialEO, CHRISTINE (OWNER/ PHARMACIST IN CHARGE)
NPI Enumeration Date09/07/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 119 $0.00
2022 110 $0.00
2023 32 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 110 97 $0.00
90694 98 85 $0.00
0011A 13 13 $0.00
G0009 Administration of pneumococcal vaccine 15 15 $0.00
90686 12 12 $0.00
90670 13 13 $0.00