Medicaid Provider Spending

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

NPI: 1033343082 · LEXINGTON, NC 27295 · Pharmacy · NPI assigned 05/05/2009

$1K
Total Medicaid Paid
69
Total Claims
65
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialPATTERSON, RUSSELL (PRESIDENT)
NPI Enumeration Date05/05/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 69 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 16 15 $715.00
0011A 14 13 $370.82
91301 39 37 $0.00