Medicaid Provider Spending

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

POLYCLINIC PHARMACY INC

NPI: 1841270386 · DANVILLE, IL 61832 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/19/2006

$1K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialRAKALLA, INDERJIT (PRESIDENT)
NPI Enumeration Date01/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 12 12 $1K