Medicaid Provider Spending

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

PRESCRIPTION SHOP HAZEN LLC

NPI: 1477688463 · HAZEN, AR 72064 · Community/Retail Pharmacy · NPI assigned 02/22/2007

$3K
Total Medicaid Paid
279
Total Claims
278
Beneficiaries
3
Codes Billed
2021-02
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJONES, PRESTON (PRESIDENT)
NPI Enumeration Date02/22/2007

Related Entities

Other providers sharing the same authorized official: JONES, PRESTON

ProviderCityStateTotal Paid
G AND M PHARMACY INC JONESBORO AR $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 279 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 115 114 $1K
0012A 114 114 $1K
0013A 50 50 $280.00