Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › ROBINSON › JAC STORES INC

JAC STORES INC

NPI: 1285645788 · ROBINSON, IL 62454 · Pharmacy · NPI assigned 08/10/2006

$53.50
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialFALK, DAVID (PRESIDENT & OWNER)
NPI Enumeration Date08/10/2006

Related Entities

Other providers sharing the same authorized official: FALK, DAVID

ProviderCityStateTotal Paid
FALK PROSTHETICS & ORTHOTICS, INC. DELRAY BEACH FL $1.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $53.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 25 25 $53.50