Medicaid Provider Spending

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

HOMETOWN PHARMACY MANAGEMENT LLC

NPI: 1295035327 · DONIPHAN, MO 63935 · 332B00000X

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

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 452 442 $18K
A4253 Blood glucose/reagent strips 2,015 1,744 $4K
E0431 Portable gaseous 02 237 226 $4K
E0570 Nebulizer with compression 301 298 $2K
Q0513 Disp fee inhal drugs/30 days 67 62 $633.98
A4259 Lancets per box 313 283 $122.75