Medicaid Provider Spending

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

FLYING DIAMOND PHARMACY LLC

NPI: 1275587867 · RENO, NV 89523 · Long Term Care Pharmacy · NPI assigned 05/19/2006

$6K
Total Medicaid Paid
109
Total Claims
106
Beneficiaries
4
Codes Billed
2018-11
First Month
2018-12
Last Month

Provider Details

Authorized OfficialHILL, STEPHEN (MEMBER, OWNER)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: HILL, STEPHEN

ProviderCityStateTotal Paid
DR HILL EYE CARE INDIANAPOLIS IN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 32 31 $2K
T4541 Incontinence product, disposable underpad, large, each 51 50 $2K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 14 13 $1K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 12 12 $845.64