Medicaid Provider Spending

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

CAROLINA DRUG OF RANDOLPH COUNTY LLC

NPI: 1508190430 · ARCHDALE, NC 27263 · Pharmacy · NPI assigned 09/24/2009

$1K
Total Medicaid Paid
73
Total Claims
67
Beneficiaries
2
Codes Billed
2019-09
First Month
2020-10
Last Month

Provider Details

Authorized OfficialCARTER, NANCY (PHARMACIST MANAGER)
NPI Enumeration Date09/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 46 $588.00
2020 27 $423.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 41 $568.65
90688 29 26 $443.10