Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › EL DORADO › EL DORADO PHARMACY INC

EL DORADO PHARMACY INC

NPI: 1053378513 · EL DORADO, KS 67042 · 333600000X

$725.11
Total Medicaid Paid
328
Total Claims
302
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50 $49.91
2019 60 $0.00
2021 206 $675.20
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 31 27 $320.00
0011A 69 61 $155.20
0012A 53 50 $80.00
0002A 15 14 $80.00
A4253 Blood glucose/reagent strips 34 24 $49.91
0004A 38 38 $40.00
G0008 Admin influenza virus vac 57 57 $0.00
90686 19 19 $0.00
91322 12 12 $0.00