Medicaid Provider Spending

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

PHARMACY SERVICES INC

NPI: 1295866390 · ROCKY FORD, CO 81067 · Primary Care Clinic/Center · NPI assigned 03/08/2007

$44K
Total Medicaid Paid
2,263
Total Claims
2,120
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDAVIS, KY (PHARMACIST)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 336 $7K
2019 329 $4K
2020 318 $3K
2021 616 $14K
2022 347 $7K
2023 289 $9K
2024 28 $333.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,614 1,501 $19K
0012A 116 113 $5K
91322 33 32 $4K
0011A 96 90 $3K
0064A 63 61 $2K
0071A 42 40 $2K
90480 33 32 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 103 94 $2K
90686 96 92 $2K
0002A 29 27 $1K
0134A 14 14 $803.01
A4215 Needle, sterile, any size, each 12 12 $366.00
A4259 Lancets, per box of 100 12 12 $68.26