Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MO
›
FAYETTE
› SAMS PRESCRIPTION SHOP INC
SAMS PRESCRIPTION SHOP INC
NPI: 1336251339 · FAYETTE, MO 65248 ·
3336C0004X
$51K
Total Medicaid Paid
523
Total Claims
470
Beneficiaries
1
Codes Billed
2019-02
First Month
2021-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
179
$14K
2020
257
$26K
2021
87
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
T2029
Special med equip, noswaiver
523
470
$51K