Medicaid Provider Spending

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

SOUTHERN PINES PRESCRIPTION SHOP INC

NPI: 1164560009 · ROBBINS, NC 27325 · Pharmacy · NPI assigned 02/02/2007

$2K
Total Medicaid Paid
106
Total Claims
73
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-05
Last Month

Provider Details

Authorized OfficialMCCLAIN, JON (PRESIDENT)
NPI Enumeration Date02/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 106 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 31 21 $1K
0012A 14 12 $780.00
91301 61 40 $0.00