Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JELLICO › JELLICO DRUG STORE INC

JELLICO DRUG STORE INC

NPI: 1093753196 · JELLICO, TN 37762 · 332BP3500X

$190.17
Total Medicaid Paid
124
Total Claims
118
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $172.63
2019 13 $17.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose/reagent strips 112 106 $137.37
Q0513 Disp fee inhal drugs/30 days 12 12 $52.80