Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › STAYTON › STAYTON PHARMACY, LLC

STAYTON PHARMACY, LLC

NPI: 1588685184 · STAYTON, OR 97383 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/21/2006

$96.50
Total Medicaid Paid
583
Total Claims
462
Beneficiaries
11
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNETLAND, JAMIE (OWNER)
NPI Enumeration Date07/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $0.56
2019 50 $1.90
2020 40 $0.00
2021 174 $41.55
2022 46 $0.00
2023 117 $52.49
2024 140 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0003A 29 28 $40.00
G0008 Administration of influenza virus vaccine 170 135 $30.70
90686 72 60 $24.25
0013A 36 21 $1.55
90674 20 12 $0.00
90480 66 56 $0.00
90656 36 31 $0.00
0012A 32 26 $0.00
0011A 30 24 $0.00
0124A 26 13 $0.00
91322 66 56 $0.00