Medicaid Provider Spending

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

GUARDIAN PHARMACY OF OKLAHOMA LLC

NPI: 1083084768 · EUFAULA, OK 74432 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/07/2015

$1K
Total Medicaid Paid
250
Total Claims
236
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialSIMMONS, KYLE (CO-PRESIDENT)
NPI Enumeration Date10/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 179 $951.98
2019 29 $88.45
2020 13 $69.60
2021 13 $39.65
2024 16 $318.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 121 116 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 112 104 $284.19
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 16 $93.24