Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LECARE PHARMACY LLC
NPI: 1912534926 · PORTLAND, OR 97213 ·
Community/Retail Pharmacy
· NPI assigned 03/27/2020
$40.00
Total Medicaid Paid
176
Total Claims
153
Beneficiaries
5
Codes Billed
2021-11
First Month
2024-10
Last Month
Provider Details
Authorized Official
LE, SANDY
(PHARMACIST/OWNER)
NPI Enumeration Date
03/27/2020
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
102
$0.00
2023
62
$40.00
2024
12
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90480
57
50
$40.00
0001A
55
50
$0.00
G0008
Administration of influenza virus vaccine
17
13
$0.00
0064A
30
26
$0.00
0011A
17
14
$0.00