Medicaid Provider Spending

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

EVANS PHARMACY LLC

NPI: 1437271392 · ENID, OK 73703 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/04/2007

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

Provider Details

Authorized OfficialWHITEHEAD, KYLE (OWNER PHARMACIST)
NPI Enumeration Date04/04/2007

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 compressor 172 172 $4K
K0001 Standard wheelchair 176 176 $3K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 12 12 $99.50
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 12 12 $45.32