Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › JONESBORO › SOOS DRUG INC

SOOS DRUG INC

NPI: 1497755946 · JONESBORO, AR 72401 · Pharmacy · NPI assigned 07/27/2005

$5K
Total Medicaid Paid
177
Total Claims
164
Beneficiaries
5
Codes Billed
2021-03
First Month
2021-09
Last Month

Provider Details

Authorized OfficialSOO, TYLER (OWNER/PHARMACIST)
NPI Enumeration Date07/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 177 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 42 41 $3K
0001A 26 26 $1K
0011A 26 26 $400.00
0012A 17 17 $120.00
91300 66 54 $0.59