Medicaid Provider Spending

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

DAYTONA DISCOUNT PHARMACY, INC

NPI: 1023280765 · SOUTH DAYTONA, FL 32119 · 3336L0003X

$1K
Total Medicaid Paid
2,196
Total Claims
1,716
Beneficiaries
14
Codes Billed
2018-05
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $93.64
2019 79 $3.32
2020 17 $11.64
2021 407 $366.88
2022 918 $0.00
2023 600 $689.76
2024 162 $0.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 64 45 $690.56
M0201 Pne flu hepb cov home admin 347 240 $333.60
A4253 Blood glucose/reagent strips 123 105 $141.88
G0008 Admin influenza virus vac 232 159 $0.00
K1034 Covid test self-admn/collect 1,024 879 $0.00
90694 141 96 $0.00
90686 20 15 $0.00
91320 19 13 $0.00
0054A 31 17 $0.00
91322 15 13 $0.00
0003A 45 31 $0.00
90653 21 19 $0.00
0004A 65 49 $0.00
0124A 49 35 $0.00