Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › SPOKANE VALLEY › TIETON VILLAGE DRUG INC.

TIETON VILLAGE DRUG INC.

NPI: 1902459100 · SPOKANE VALLEY, WA 99206 · Long Term Care Pharmacy · NPI assigned 07/17/2019

$0.00
Total Medicaid Paid
58
Total Claims
57
Beneficiaries
3
Codes Billed
2021-11
First Month
2022-10
Last Month

Provider Details

Authorized OfficialLUTHER, PHIL (OWNER)
NPI Enumeration Date07/17/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $0.00
2022 31 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0134A 15 15 $0.00
0054A 16 16 $0.00
0003A 27 26 $0.00