Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › LA PINE › DRUG MART PHARMACY INC

DRUG MART PHARMACY INC

NPI: 1366507782 · LA PINE, OR 97739 · Compounding Pharmacy · NPI assigned 12/26/2006

$667.05
Total Medicaid Paid
334
Total Claims
242
Beneficiaries
2
Codes Billed
2018-12
First Month
2021-06
Last Month

Provider Details

Authorized OfficialSANDOVAL, BRANDON (OWNER)
NPI Enumeration Date12/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19 $18.30
2019 12 $0.00
2020 215 $391.85
2021 88 $256.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 262 193 $552.99
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 72 49 $114.06