Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PITTSBURGH › SPARTAN PHARMACY INC

SPARTAN PHARMACY INC

NPI: 1891706461 · PITTSBURGH, PA 15227 · 333600000X

$44K
Total Medicaid Paid
918
Total Claims
858
Beneficiaries
7
Codes Billed
2021-09
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 447 $21K
2022 409 $21K
2023 62 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
M0247 Sotrovimab infusion 75 75 $22K
87635 395 364 $13K
99211 272 249 $5K
99202 76 75 $3K
90471 60 56 $690.00
90756 23 22 $683.18
90674 17 17 $187.00