Medicaid Provider Spending

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

JACKSON DRUGS, LLC

NPI: 1124161435 · FORT PIERCE, FL 34950 · Community/Retail Pharmacy · NPI assigned 02/15/2007

$12K
Total Medicaid Paid
1,175
Total Claims
1,074
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialRAMLAGAN, AKASH (OWNER)
NPI Enumeration Date02/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 235 $3K
2019 251 $3K
2020 256 $4K
2021 280 $2K
2022 101 $888.00
2023 52 $24.86

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4927 Gloves, non-sterile, per 100 1,105 1,010 $12K
0001A 18 15 $40.75
G0008 Administration of influenza virus vaccine 14 12 $24.86
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 38 37 $0.00