Medicaid Provider Spending

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

NPI: 1144542994 · EASTOVER, NC 28312 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/22/2010

$455.00
Total Medicaid Paid
60
Total Claims
39
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-05
Last Month

Provider Details

Authorized OfficialHAYES, ZACHARY (PHARMACY MANAGER)
NPI Enumeration Date02/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 60 $455.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 17 12 $455.00
91301 43 27 $0.00