Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › WYNNE › WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC

WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC

NPI: 1255623625 · WYNNE, AR 72396 · Long Term Care Pharmacy · NPI assigned 05/04/2011

$9K
Total Medicaid Paid
888
Total Claims
677
Beneficiaries
10
Codes Billed
2018-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJOHNSON, LESLIE (PIC)
NPI Enumeration Date05/04/2011

Related Entities

Other providers sharing the same authorized official: JOHNSON, LESLIE

ProviderCityStateTotal Paid
WILLIAM NEAL EVANS MD LTD LAS VEGAS NV $25.76M
OPTUM BEHAVIORAL CARE OF COLORADO, P.C. BAXTER MN $110K
OPTUM BEHAVIORAL CARE OF COLORADO, P.C. SALEM OR $47K
OPTUM BEHAVIORAL CARE OF COLORADO, P.C. MINNEAPOLIS MN $34K
LM JOHNSON LLC HONOLULU HI $23K
OPTUM BEHAVIORAL CARE OF COLORADO, P.C. APPLETON WI $422.87

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49 $268.17
2020 13 $46.35
2021 826 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 69 58 $5K
0011A 260 190 $2K
0012A 150 126 $1K
0001A 23 18 $1K
90686 15 13 $163.01
0013A 20 20 $120.00
G9141 15 14 $105.16
G0008 Administration of influenza virus vaccine 32 31 $46.35
91301 201 120 $0.86
91300 103 87 $0.84