Medicaid Provider Spending

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

GUARDIAN PHARMACY OF TN ONE

NPI: 1215262670 · SHELBYVILLE, TN 37160 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/02/2009

$15K
Total Medicaid Paid
371
Total Claims
258
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPIVEY, RUSS (PHARMACIST IN CHARGE)
NPI Enumeration Date10/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $0.00
2019 120 $8K
2020 143 $7K
2021 19 $0.00
2022 13 $0.00
2023 29 $0.00
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99601 206 105 $15K
S9379 Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 22 12 $446.74
0134A 17 17 $0.00
90674 49 47 $0.00
90686 33 33 $0.00
0064A 32 32 $0.00
90694 12 12 $0.00