Medicaid Provider Spending

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

NPI: 1164466793 · MEDIAPOLIS, IA 52637 · Pharmacy · NPI assigned 06/15/2006

$440.00
Total Medicaid Paid
17
Total Claims
12
Beneficiaries
1
Codes Billed
2021-05
First Month
2021-05
Last Month

Provider Details

Authorized OfficialMOHR, SHANNON (OWNER)
NPI Enumeration Date06/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $440.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 17 12 $440.00