Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › DONIPHAN › E & S PHARMACY INC

E & S PHARMACY INC

NPI: 1609911643 · DONIPHAN, MO 63935 · 332B00000X

$11K
Total Medicaid Paid
1,635
Total Claims
1,541
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 740 $8K
2019 390 $1K
2020 266 $758.79
2021 158 $572.28
2022 81 $284.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator 199 160 $6K
A4253 Blood glucose/reagent strips 1,203 1,158 $4K
Q0513 Disp fee inhal drugs/30 days 149 142 $1K
E0570 Nebulizer with compression 46 43 $443.30
A4259 Lancets per box 38 38 $17.22