Medicaid Provider Spending

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

G AND M PHARMACY INC

NPI: 1285706069 · JONESBORO, AR 72401 · Pharmacy · NPI assigned 11/15/2006

$6K
Total Medicaid Paid
388
Total Claims
361
Beneficiaries
8
Codes Billed
2021-03
First Month
2022-01
Last Month

Provider Details

Authorized OfficialJONES, PRESTON (PHARMACIST IN CHARGE)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: JONES, PRESTON

ProviderCityStateTotal Paid
PRESCRIPTION SHOP HAZEN LLC HAZEN AR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 361 $6K
2022 27 $0.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 48 48 $3K
0001A 69 67 $2K
0004A 15 15 $360.00
0031A 19 15 $280.00
0011A 26 24 $147.76
0012A 15 14 $120.00
91300 167 150 $1.55
91307 29 28 $0.28