Medicaid Provider Spending

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

HASKELL DRUG STORE INC

NPI: 1003919390 · HASKELL, TX 79521 · Pharmacy · NPI assigned 09/06/2006

$0.00
Total Medicaid Paid
352
Total Claims
345
Beneficiaries
10
Codes Billed
2020-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialMEREDITH, LONNIE (OWNER)
NPI Enumeration Date09/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $0.00
2021 94 $0.00
2022 134 $0.00
2023 57 $0.00
2024 54 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 45 45 $0.00
0012A 16 16 $0.00
90694 20 19 $0.00
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 116 115 $0.00
90480 27 27 $0.00
0134A 16 16 $0.00
G0008 Administration of influenza virus vaccine 52 48 $0.00
0064A 15 14 $0.00
91322 27 27 $0.00
0013A 18 18 $0.00