Medicaid Provider Spending

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

SALAAM HEALTH PLLC

NPI: 1841705886 · SEATTLE, WA 98118 · Pharmacy · NPI assigned 12/13/2017

$26K
Total Medicaid Paid
1,668
Total Claims
1,340
Beneficiaries
20
Codes Billed
2021-02
First Month
2024-01
Last Month

Provider Details

Authorized OfficialTACHE, ABDIRAHMAN (PHARMD)
NPI Enumeration Date12/13/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 931 $13K
2022 331 $4K
2023 361 $8K
2024 45 $824.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 362 315 $7K
0011A 535 436 $6K
91320 107 66 $4K
90480 144 92 $2K
91322 22 17 $2K
0002A 31 31 $1K
0072A 22 22 $760.00
0124A 16 15 $516.00
90686 58 31 $491.70
0134A 13 12 $472.00
0071A 13 13 $440.00
0001A 14 14 $440.00
0064A 12 12 $392.00
0031A 34 24 $360.00
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 15 12 $140.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 60 33 $136.93
91300 156 143 $0.00
91312 15 14 $0.00
91313 13 12 $0.00
91307 26 26 $0.00