Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › MT IDA › WAGNER DRUGS INC

WAGNER DRUGS INC

NPI: 1568477198 · MT IDA, AR 71957 · Pharmacy · NPI assigned 07/30/2006

$972.10
Total Medicaid Paid
322
Total Claims
309
Beneficiaries
6
Codes Billed
2020-12
First Month
2022-10
Last Month

Provider Details

Authorized OfficialWAGNER, LAURA (OWNER)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $16.94
2021 275 $955.16
2022 19 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 127 120 $406.73
0012A 108 107 $365.17
0031A 12 12 $200.00
91301 26 21 $0.20
0134A 19 19 $0.00
0064A 30 30 $0.00