Medicaid Provider Spending

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

OTWAY PHARMACY PARTNERS, INC

NPI: 1184927162 · BEAUFORT, NC 28516 · Community/Retail Pharmacy · NPI assigned 12/13/2010

$3K
Total Medicaid Paid
174
Total Claims
104
Beneficiaries
4
Codes Billed
2021-11
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPOYTHRESS, CHRISTY (MANAGER/OWNER)
NPI Enumeration Date12/13/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 174 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 70 35 $2K
90686 17 17 $319.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 17 $237.49
91306 70 35 $0.00