Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › LITTLE ROCK › RX MOOSE INC

RX MOOSE INC

NPI: 1396750998 · LITTLE ROCK, AR 72207 · Pharmacy · NPI assigned 07/30/2006

$1K
Total Medicaid Paid
84
Total Claims
83
Beneficiaries
3
Codes Billed
2021-02
First Month
2021-10
Last Month

Provider Details

Authorized OfficialWHEELER, ADAM (OWNER)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 84 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 48 47 $600.00
0002A 24 24 $480.00
0003A 12 12 $200.00