Medicaid Provider Spending

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

POLK'S CROSSGATE DISCOUNT DRUGS INC.

NPI: 1407872666 · DOTHAN, AL 36305 · Pharmacy · NPI assigned 07/14/2006

$2K
Total Medicaid Paid
331
Total Claims
274
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialHUDSON, MARGARET (MANAGING PHARMACIST)
NPI Enumeration Date07/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7507 Tacrolimus, immediate release, oral, 1 mg 102 85 $2K
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 103 98 $79.20
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 126 91 $73.92