Medicaid Provider Spending

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

JOLLYS PHARMACY INC

NPI: 1235388430 · RENTON, WA 98057 · Long Term Care Pharmacy · NPI assigned 09/11/2008

$2.96M
Total Medicaid Paid
387,330
Total Claims
341,578
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOLLY, ANDERSON (OWNER)
NPI Enumeration Date09/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,781 $178K
2019 42,979 $280K
2020 61,651 $417K
2021 55,938 $472K
2022 64,357 $527K
2023 70,844 $465K
2024 70,780 $626K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 379,494 334,038 $2.96M
A4259 Lancets, per box of 100 1,936 1,899 $0.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 5,292 5,054 $0.00
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 530 521 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 62 50 $0.00
E0607 Home blood glucose monitor 16 16 $0.00