Medicaid Provider Spending

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

ST LUKE PHARMACY INC

NPI: 1982716973 · PARAMOUNT, CA 90723 · Pharmacy · NPI assigned 08/31/2006

$136.49
Total Medicaid Paid
57
Total Claims
53
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-11
Last Month

Provider Details

Authorized OfficialSALIBA, SHUKRI (CEO)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $136.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 57 53 $136.49