Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FORREST CITY FAMILY PHARMACY LLC
NPI: 1396218483 · FORREST CITY, AR 72335 ·
Community/Retail Pharmacy
· NPI assigned 01/10/2019
$6K
Total Medicaid Paid
800
Total Claims
778
Beneficiaries
4
Codes Billed
2021-02
First Month
2021-12
Last Month
Provider Details
Authorized Official
CALDWELL, JARED
(OWNER)
NPI Enumeration Date
01/10/2019
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
800
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0012A
309
298
$3K
0011A
346
337
$2K
0064A
115
113
$640.00
0031A
30
30
$640.00