Medicaid Provider Spending

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

COBBS WESTSIDE PHARMACY INC

NPI: 1457309148 · RUSSELLVILLE, AR 72801 · 3336L0003X

$2K
Total Medicaid Paid
185
Total Claims
168
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 185 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 90 82 $1K
0011A 80 72 $856.94
0064A 15 14 $120.00