Medicaid Provider Spending

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

NPI: 1962158758 · VICTORVILLE, CA 92392 · Clinic Pharmacy · NPI assigned 03/01/2022

$0.00
Total Medicaid Paid
34
Total Claims
34
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialANDRAWOS, KIROLOS (DIRECTOR)
NPI Enumeration Date03/01/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 34 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0009 Administration of pneumococcal vaccine 13 13 $0.00
90677 21 21 $0.00