Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CHESTER › BLACKS DRUG STORE, INC

BLACKS DRUG STORE, INC

NPI: 1194927459 · CHESTER, SC 29706 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/31/2007

$125K
Total Medicaid Paid
6,050
Total Claims
6,038
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWYLIE, ROBERT (PRESIDENT)
NPI Enumeration Date05/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,364 $36K
2019 1,045 $25K
2020 967 $22K
2021 940 $19K
2022 729 $14K
2023 513 $4K
2024 492 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X1939 1,008 1,006 $54K
A4554 Disposable underpads, all sizes 983 978 $31K
T5999 Supply, not otherwise specified 3,636 3,631 $19K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 211 211 $10K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 139 139 $9K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 73 73 $3K