Medicaid Provider Spending

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

LIVINGSTON PHARMACY INC.

NPI: 1861589509 · CLAIRTON, PA 15025 · Pharmacy · NPI assigned 10/06/2006

$22K
Total Medicaid Paid
826
Total Claims
822
Beneficiaries
8
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIVINGSTON, MATTHEW (VICE PRESIDENT)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 62 $649.00
2023 325 $6K
2024 439 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 460 457 $5K
90661 131 130 $5K
90674 155 155 $4K
90677 13 13 $4K
90750 15 15 $3K
90656 21 21 $469.35
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 15 $455.00
90686 16 16 $335.25