Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › PALM SPRINGS › EL MIRADOR MEDICAL PLAZA PHARMACY INC

EL MIRADOR MEDICAL PLAZA PHARMACY INC

NPI: 1861504854 · PALM SPRINGS, CA 92262 · Community/Retail Pharmacy · NPI assigned 08/31/2006

$25K
Total Medicaid Paid
316
Total Claims
316
Beneficiaries
2
Codes Billed
2022-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialUPADHYAYULA, RAMESH (PRESIDENT)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $5K
2024 291 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99607 160 160 $14K
99605 156 156 $11K