Medicaid Provider Spending

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

HEBERT REXALL PHARMACY INC

NPI: 1093889511 · VAN BUREN, ME 04785 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/17/2006

$14K
Total Medicaid Paid
3,770
Total Claims
3,632
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEBERT, JOHN (OWNER/PHARMD)
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: HEBERT, JOHN

ProviderCityStateTotal Paid
DIAGNOSTIC IMAGING ASSOCIATES SHREVEPORT LA $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 528 $2K
2019 622 $3K
2020 623 $3K
2021 1,369 $2K
2022 257 $123.15
2023 150 $805.44
2024 221 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,200 1,085 $9K
A4927 Gloves, non-sterile, per 100 68 68 $3K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 13 12 $472.65
E0607 Home blood glucose monitor 37 33 $289.73
A4259 Lancets, per box of 100 208 195 $195.41
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 13 13 $72.60
0011A 293 293 $0.00
0134A 52 52 $0.00
G0008 Administration of influenza virus vaccine 580 580 $0.00
90677 13 13 $0.00
0012A 291 291 $0.00
90686 41 41 $0.00
0031A 60 60 $0.00
G0009 Administration of pneumococcal vaccine 32 32 $0.00
90480 41 39 $0.00
90732 13 13 $0.00
90662 332 332 $0.00
0013A 347 347 $0.00
0034A 14 14 $0.00
91320 40 38 $0.00
0003A 13 12 $0.00
91322 18 18 $0.00
90653 37 37 $0.00
90756 14 14 $0.00