Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › LITTLE ROCK › DRUG STORE, INC

DRUG STORE, INC

NPI: 1013188168 · LITTLE ROCK, AR 72212 · Community/Retail Pharmacy · NPI assigned 03/17/2008

$12K
Total Medicaid Paid
186
Total Claims
182
Beneficiaries
6
Codes Billed
2021-03
First Month
2022-01
Last Month

Provider Details

Authorized OfficialJUDD, PHILLIP (OWNER/PHARMACIST)
NPI Enumeration Date03/17/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 83 $3K
2022 103 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0071A 69 69 $5K
0072A 31 31 $3K
0001A 19 19 $2K
0002A 19 16 $1K
0004A 22 22 $760.00
0031A 26 25 $480.00