Medicaid Provider Spending

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

GUARDIAN PHARMACY OF VIRGINIA LLC

NPI: 1447500400 · WYTHEVILLE, VA 24382 · Long Term Care Pharmacy · NPI assigned 09/17/2012

$5K
Total Medicaid Paid
524
Total Claims
517
Beneficiaries
15
Codes Billed
2018-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialTERRY, CHAD (PRESIDENT)
NPI Enumeration Date09/17/2012

Related Entities

Other providers sharing the same authorized official: TERRY, CHAD

ProviderCityStateTotal Paid
GUARDIAN PHARMACY OF EASTERN NC, LLC PINK HILL NC $9K
GUARDIAN PHARMACY OF EASTERN NC, LLC KERNERSVILLE NC $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $5K
2019 51 $525.71
2020 124 $64.71
2021 154 $80.00
2022 90 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0009 Administration of pneumococcal vaccine 23 23 $2K
90670 21 21 $2K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 44 37 $1K
0004A 58 58 $40.00
0064A 51 51 $40.00
90686 15 15 $17.30
G0008 Administration of influenza virus vaccine 68 68 $10.96
0002A 53 53 $0.00
90674 18 18 $0.00
90688 23 23 $0.00
0051A 22 22 $0.00
0011A 31 31 $0.00
0134A 25 25 $0.00
0001A 49 49 $0.00
0012A 23 23 $0.00