Medicaid Provider Spending

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

NPI: 1457565400 · STUTTGART, AR 72160 · Community/Retail Pharmacy · NPI assigned 05/09/2007

$2K
Total Medicaid Paid
166
Total Claims
162
Beneficiaries
4
Codes Billed
2021-03
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSMITH, ZACHARY (PRESIDENT)
NPI Enumeration Date05/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 166 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 56 56 $1K
0012A 29 29 $660.00
0013A 14 14 $200.00
91301 67 63 $0.58