Medicaid Provider Spending

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

NPI: 1841373578 · AGUAS BUENAS, PR 00703 · Pharmacy · NPI assigned 10/24/2006

$275.07
Total Medicaid Paid
30
Total Claims
30
Beneficiary Records
2
Codes Billed
2019-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialBRACETTY MATOS, DORIAN (PHARMACIST VP)
NPI Enumeration Date10/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $275.07

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90686 15 15 $275.07
G0008 Administration of influenza virus vaccine 15 15 $0.00