Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › MOBERLY › SAMS PRESCRIPTION SHOP INC

SAMS PRESCRIPTION SHOP INC

NPI: 1528376639 · MOBERLY, MO 65270 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/23/2010

$319.52
Total Medicaid Paid
78
Total Claims
76
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-09
Last Month

Provider Details

Authorized OfficialTADRUS, CHRISTIAN (OWNER)
NPI Enumeration Date09/23/2010

Related Entities

Other providers sharing the same authorized official: TADRUS, CHRISTIAN

ProviderCityStateTotal Paid
SAMS PRESCRIPTION SHOP INC MOBERLY MO $207K
SAMS PRESCRIPTION SHOP INC FAYETTE MO $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78 $319.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 78 76 $319.52