Medicaid Provider Spending

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

HENRY ROBERTS EXPRESS PHARMACY LLC

NPI: 1093725285 · ARDMORE, OK 73401 · Long Term Care Pharmacy · NPI assigned 08/09/2006

$30K
Total Medicaid Paid
740
Total Claims
699
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialROBERTS, HENRY (PHARMACIST OWNER)
NPI Enumeration Date08/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $4K
2019 189 $4K
2020 45 $2K
2021 42 $3K
2022 222 $8K
2023 117 $7K
2024 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 511 492 $29K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 167 147 $319.92
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 33 32 $63.06
A7015 Aerosol mask, used with dme nebulizer 29 28 $37.85