Medicaid Provider Spending

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

PHARMACY SERVICES INC

NPI: 1013043223 · ORDWAY, CO 81063 · Pharmacy · NPI assigned 02/24/2007

$8K
Total Medicaid Paid
361
Total Claims
339
Beneficiaries
7
Codes Billed
2018-07
First Month
2023-10
Last Month

Provider Details

Authorized OfficialPICKERILL, KYLE (MANAGER)
NPI Enumeration Date02/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $553.83
2019 14 $273.00
2020 37 $791.19
2021 144 $3K
2022 74 $2K
2023 80 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 164 155 $3K
0012A 35 33 $1K
0134A 28 20 $1K
0013A 22 21 $823.60
0011A 17 17 $700.06
A4215 Needle, sterile, any size, each 26 26 $661.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 67 $217.27