Medicaid Provider Spending

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

BLACK DIAMOND PHARMACY, LLC

NPI: 1558444026 · NORTHFORK, WV 24868 · Community/Retail Pharmacy · NPI assigned 10/20/2006

$44.95
Total Medicaid Paid
14
Total Claims
12
Beneficiaries
1
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialDUNSON, DAVID (OWNER,MANAGER)
NPI Enumeration Date10/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $44.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 14 12 $44.95