Medicaid Provider Spending

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

CAVE CITY PHARMACY, PLLC

NPI: 1043340789 · CAVE CITY, AR 72521 · Pharmacy · NPI assigned 03/06/2007

$12K
Total Medicaid Paid
579
Total Claims
476
Beneficiaries
6
Codes Billed
2021-02
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDAVIS, JENNIFER (OWNER)
NPI Enumeration Date03/06/2007

Related Entities

Other providers sharing the same authorized official: DAVIS, JENNIFER

ProviderCityStateTotal Paid
JLD THERAPY, PC SAN JOSE CA $996K
AJ THERAPY SERVICES LLC MERCERSBURG PA $45K
GENUINE CARE HEALTHCARE SYSTEMS LLC CHEYENNE WY $28K
REVOLUTION WELLNESS CENTER LLC MIDDLEBURG HEIGHTS OH $3K
MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC MAPLE VALLEY WA $373.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 579 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 132 77 $5K
0001A 81 54 $3K
0011A 218 200 $3K
0072A 14 14 $1K
0064A 58 57 $520.00
0012A 76 74 $80.00