Medicaid Provider Spending

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

SIKESTON PHARMACY LLC

NPI: 1194897983 · SIKESTON, MO 63801 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/15/2006

$3K
Total Medicaid Paid
618
Total Claims
601
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialSCHREIBER, DONALD (PRESIDENT)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 183 $995.97
2019 160 $623.37
2020 175 $733.94
2021 59 $272.88
2022 41 $194.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 541 526 $2K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 64 63 $636.61
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $89.55