Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › FULTON › SAULTS DRUG STORE INC

SAULTS DRUG STORE INC

NPI: 1609887116 · FULTON, MO 65251 · Long Term Care Pharmacy · NPI assigned 08/10/2006

$5K
Total Medicaid Paid
77
Total Claims
75
Beneficiaries
2
Codes Billed
2024-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREAL, ALTON (OWNER,RPH,AO)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 77 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 53 51 $3K
99607 24 24 $2K