Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › ENID › EVANS PHARMACY LLC

EVANS PHARMACY LLC

NPI: 1437271392 · ENID, OK 73703 · 332B00000X

$7K
Total Medicaid Paid
372
Total Claims
372
Beneficiaries
4
Codes Billed
2018-02
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 148 $2K
2020 24 $532.77
2021 114 $2K
2022 74 $2K
2023 12 $355.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer with compression 172 172 $4K
K0001 Standard wheelchair 176 176 $3K
K0195 Elevating whlchair leg rests 12 12 $99.50
A7003 Nebulizer administration set 12 12 $45.32