Medicaid Provider Spending

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

HILLSBORO PHARMACY & FOUNTAIN

NPI: 1972615987 · HILLSBORO, OR 97123 · Pharmacy · NPI assigned 08/31/2006

$4K
Total Medicaid Paid
809
Total Claims
629
Beneficiaries
9
Codes Billed
2021-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialNGUYEN, JASMINE (OWNER)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: NGUYEN, JASMINE

ProviderCityStateTotal Paid
JASMINE P. NGUYEN, O.D., INC. SAN DIEGO CA $625K
PHARMACY DOT COM 82ND PORTLAND OR $4K
KN DRUG LLC PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 35 $0.00
2022 774 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 395 319 $4K
0013A 33 30 $0.00
0124A 60 48 $0.00
90662 79 60 $0.00
G0008 Administration of influenza virus vaccine 155 111 $0.00
0134A 24 19 $0.00
90686 21 13 $0.00
0011A 16 12 $0.00
90694 26 17 $0.00