Medicaid Provider Spending

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

NPI: 1912149493 · ALLSTON, MA 02134 · Community/Retail Pharmacy · NPI assigned 03/31/2009

$0.00
Total Medicaid Paid
896
Total Claims
896
Beneficiaries
5
Codes Billed
2018-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialCHAUDHARY, DIPESH (SECRETAREY)
NPI Enumeration Date03/31/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 198 $0.00
2019 266 $0.00
2020 209 $0.00
2021 111 $0.00
2022 112 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 32 32 $0.00
G0008 Administration of influenza virus vaccine 462 462 $0.00
90686 265 265 $0.00
90674 111 111 $0.00
90688 26 26 $0.00