Medicaid Provider Spending

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

GREENVILLE PHARMACY INC

NPI: 1528137015 · SIOUX CITY, IA 51105 · Community/Retail Pharmacy · NPI assigned 11/07/2006

$1K
Total Medicaid Paid
80
Total Claims
75
Beneficiaries
1
Codes Billed
2019-05
First Month
2020-12
Last Month

Provider Details

Authorized OfficialREHAL, ROBERT (VP)
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: REHAL, ROBERT

ProviderCityStateTotal Paid
LEEDS PHARMACY INC. SIOUX CITY IA $148.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 56 $1K
2020 24 $315.38

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 80 75 $1K