Medicaid Provider Spending

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

BROADWAY LTC, LLC

NPI: 1457758153 · CAPE GIRARDEAU, MO 63703 · Long Term Care Pharmacy · NPI assigned 11/24/2014

$4K
Total Medicaid Paid
121
Total Claims
118
Beneficiaries
2
Codes Billed
2021-05
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWOOD, KEVIN (DIRECTOR OF PHARMACY)
NPI Enumeration Date11/24/2014

Related Entities

Other providers sharing the same authorized official: WOOD, KEVIN

ProviderCityStateTotal Paid
FREDERICK STREET MANOR LLC CAPE GIRARDEAU MO $317K
MAPLE CREST MANOR LLC CAPE GIRARDEAU MO $316K
SCOTT CITY SUNSHINE LLC SCOTT CITY MO $104K
KNL PRESCRIPTIONS LLC CAPE GIRARDEAU MO $9K
REMEDY HEALTH LLC CAPE GIRARDEAU MO $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 121 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 76 75 $2K
0002A 45 43 $2K