Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DYERSBURG
› C & C PHARMACY, LLC
C & C PHARMACY, LLC
NPI: 1316267487 · DYERSBURG, TN 38024 ·
3336C0003X
$1K
Total Medicaid Paid
492
Total Claims
481
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
429
$1K
2019
63
$323.57
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
A4253
Blood glucose/reagent strips
325
320
$691.21
Q0513
Disp fee inhal drugs/30 days
114
109
$633.60
J7613
Albuterol non-comp unit
29
28
$5.52
A4259
Lancets per box
24
24
$1.70