Medicaid Provider Spending

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

COLLIER DRUG STORES INC

NPI: 1003816174 · PRAIRIE GROVE, AR 72753 · Pharmacy · NPI assigned 07/29/2005

$12K
Total Medicaid Paid
611
Total Claims
534
Beneficiaries
4
Codes Billed
2020-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialCOLLIER, MEL (OWNER)
NPI Enumeration Date07/29/2005

Related Entities

Other providers sharing the same authorized official: COLLIER, MEL

ProviderCityStateTotal Paid
COLLIER DRUG STORES INC FAYETTEVILLE AR $307K
COLLIER DRUG STORES INC ELKINS AR $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $46.35
2021 599 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 352 299 $7K
0002A 235 211 $5K
G0008 Administration of influenza virus vaccine 12 12 $46.35
91300 12 12 $0.00