Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › FAIRMONT › RIDER PHARMACY INC

RIDER PHARMACY INC

NPI: 1467459545 · FAIRMONT, WV 26554 · Community/Retail Pharmacy · NPI assigned 07/05/2005

$85K
Total Medicaid Paid
749
Total Claims
701
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialRIDER, JONATHAN (OWNER)
NPI Enumeration Date07/05/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 404 $48K
2019 345 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4520 Incontinence garment, any type, (e.g., brief, diaper), each 696 648 $84K
E0570 Nebulizer, with compressor 41 41 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 12 12 $53.24