Medicaid Provider Spending

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

NPI: 1821631672 · CHARLOTTE, NC 28205 · Community/Retail Pharmacy · NPI assigned 10/24/2019

$6K
Total Medicaid Paid
288
Total Claims
221
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialTEWOLDE, MIHRETEAB TEWOLDE (PHARMACY MANAGER)
NPI Enumeration Date10/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 288 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 89 67 $3K
0012A 44 41 $2K
91301 155 113 $0.00