Medicaid Provider Spending

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

HOMETOWN PHARMACY MANAGEMENT LLC

NPI: 1295035327 · DONIPHAN, MO 63935 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/22/2010

$28K
Total Medicaid Paid
3,385
Total Claims
3,055
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialCOFFMAN, CHRISTINE (OWNER/PHARMACIST)
NPI Enumeration Date10/22/2010

Related Entities

Other providers sharing the same authorized official: COFFMAN, CHRISTINE

ProviderCityStateTotal Paid
MOUNTAIN GROVE PHARMACY INC MOUNTAIN GROVE MO $25K
FAMILY PHARMACY OF MOUNTAIN GROVE LLC MOUNTAIN GROVE MO $516.66

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,326 $15K
2019 1,064 $10K
2020 590 $3K
2021 223 $729.31
2022 94 $228.90
2023 67 $252.06
2024 21 $93.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 452 442 $18K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 2,015 1,744 $4K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 237 226 $4K
E0570 Nebulizer, with compressor 301 298 $2K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 67 62 $633.98
A4259 Lancets, per box of 100 313 283 $122.75