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: 1568453397 · MOBERLY, MO 65270 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/01/2005

$207K
Total Medicaid Paid
1,945
Total Claims
1,711
Beneficiaries
1
Codes Billed
2018-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialTADRUS, CHRISTIAN (OWNER)
NPI Enumeration Date11/01/2005

Related Entities

Other providers sharing the same authorized official: TADRUS, CHRISTIAN

ProviderCityStateTotal Paid
SAMS PRESCRIPTION SHOP INC FAYETTE MO $51K
SAMS PRESCRIPTION SHOP INC MOBERLY MO $319.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 129 $15K
2019 359 $34K
2020 481 $47K
2021 448 $48K
2022 378 $44K
2023 131 $15K
2024 19 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2029 Specialized medical equipment, not otherwise specified, waiver 1,945 1,711 $207K