Medicaid Provider Spending

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

RED RIVER PHARMACY SERVICES INC

NPI: 1356455638 · TEXARKANA, TX 75503 · 3336C0003X

$35K
Total Medicaid Paid
1,644
Total Claims
590
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,120 $14K
2019 49 $507.20
2020 242 $17K
2021 23 $160.05
2022 127 $2K
2023 83 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4305 Drug delivery system >=50 ml 96 32 $16K
A4209 5+ cc sterile syringe&needle 509 179 $11K
A4221 Supp non-insulin inf cath/wk 248 78 $4K
B4152 Ef calorie dense>/=1.5kcal 20 12 $2K
A6209 Foam drsg <=16 sq in w/o bdr 149 51 $973.38
A4927 Non-sterile gloves 184 82 $392.19
A6257 Transparent film <= 16 sq in 218 78 $239.85
A6216 Non-sterile gauze<=16 sq in 220 78 $118.56