Medicaid Provider Spending

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

NPI: 1902185366 · BROOKLYN, NY 11237 · Pharmacy · NPI assigned 08/16/2011

$3K
Total Medicaid Paid
120
Total Claims
119
Beneficiary Records
2
Codes Billed
2021-03
First Month
2021-05
Last Month

Provider Details

Authorized OfficialSUTARIA, PETE (MEMBER)
NPI Enumeration Date08/16/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 120 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
0012A 50 49 $2K
0011A 70 70 $1K