Medicaid Provider Spending

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

MCCOY-TYGART DRUG STORE INC

NPI: 1073579843 · SHERIDAN, AR 72150 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/21/2006

$10K
Total Medicaid Paid
651
Total Claims
596
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialTYGART, PHILLIP (PHARMACIST,CORP.OFCER.)
NPI Enumeration Date04/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 192 $5K
2019 84 $2K
2020 63 $725.86
2021 312 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 280 241 $7K
0011A 153 146 $2K
0012A 86 85 $856.78
0064A 56 55 $480.00
G0008 Administration of influenza virus vaccine 61 57 $216.30
90688 15 12 $129.20