Medicaid Provider Spending

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

DAUGHERTYS DRUG STORE INC

NPI: 1316938210 · PINE KNOT, KY 42635 · Pharmacy · NPI assigned 10/31/2005

$3K
Total Medicaid Paid
1,300
Total Claims
1,253
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialMATHENY, KERRY (PRESIDENT)
NPI Enumeration Date10/31/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 652 $2K
2019 388 $334.59
2020 203 $106.22
2021 57 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 292 286 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 806 772 $1K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 31 28 $160.97
A4259 Lancets, per box of 100 171 167 $40.62