Medicaid Provider Spending

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

FARMACIA BABILONIA

NPI: 1932429073 · MOCA, PR 00676 · Community/Retail Pharmacy · NPI assigned 06/10/2010

$640.00
Total Medicaid Paid
56
Total Claims
56
Beneficiaries
3
Codes Billed
2022-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialPEREZ, JAZMIN (MANAGER)
NPI Enumeration Date06/10/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 56 $640.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 22 22 $360.00
0004A 18 18 $200.00
0072A 16 16 $80.00