Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › MANILA › DELTA DRUGS INC

DELTA DRUGS INC

NPI: 1043318041 · MANILA, AR 72442 · Pharmacy · NPI assigned 09/21/2006

$14K
Total Medicaid Paid
546
Total Claims
530
Beneficiaries
9
Codes Billed
2019-08
First Month
2021-12
Last Month

Provider Details

Authorized OfficialASHLEY, LAURA (PHARMACIST)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 24 $0.00
2021 522 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 56 51 $4K
0071A 39 35 $2K
0002A 28 28 $2K
0072A 22 21 $2K
0011A 163 159 $2K
0012A 167 165 $2K
0064A 47 47 $80.00
90670 12 12 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00