Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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I CARE PASSAIC PHARMACY CORP

NPI: 1861093395 · PASSAIC, NJ 07055 · Community/Retail Pharmacy · NPI assigned 11/02/2020

$1K
Total Medicaid Paid
61
Total Claims
40
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialALI, MAHMOUD MEDHAT (OWNER)
NPI Enumeration Date11/02/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 61 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 35 26 $800.00
0011A 26 14 $400.00