Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BERRYVILLE
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GWL INC
NPI: 1447364419 · BERRYVILLE, AR 72616 ·
Pharmacy
· NPI assigned 08/18/2006
$10K
Total Medicaid Paid
633
Total Claims
573
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-11
Last Month
Provider Details
Authorized Official
MABRY, SPENCER
(PRESIDENT)
NPI Enumeration Date
08/18/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
94
$2K
2019
38
$741.64
2020
15
$264.24
2021
486
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0002A
95
92
$4K
0001A
108
93
$3K
A4253
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
147
145
$3K
91300
99
64
$0.81
0013A
31
29
$0.00
0012A
81
79
$0.00
0011A
72
71
$0.00