Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
IA
›
ELKADER
› CLAYTON PHARMACY SERVICES
CLAYTON PHARMACY SERVICES
NPI: 1417457656 · ELKADER, IA 52043 ·
Community/Retail Pharmacy
· NPI assigned 02/14/2018
$560.00
Total Medicaid Paid
57
Total Claims
55
Beneficiaries
3
Codes Billed
2021-04
First Month
2022-11
Last Month
Provider Details
Authorized Official
CLAYTON, JENNIFER
(CEO)
NPI Enumeration Date
02/14/2018
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
45
$480.00
2022
12
$80.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0011A
12
12
$480.00
0134A
12
12
$80.00
91301
33
31
$0.00