Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERRYVILLE
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JBR ENTERPRISES INC
NPI: 1629182696 · PERRYVILLE, AR 72126 ·
Pharmacy
· NPI assigned 08/18/2006
$7K
Total Medicaid Paid
635
Total Claims
624
Beneficiaries
8
Codes Billed
2021-03
First Month
2021-12
Last Month
Provider Details
Authorized Official
ROLAND, JOHN
(MGR)
NPI Enumeration Date
08/18/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
635
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0012A
182
182
$3K
0002A
20
18
$2K
0011A
143
143
$1K
0001A
20
18
$720.00
0064A
15
15
$480.00
91301
151
148
$1.14
91300
45
41
$0.41
0013A
59
59
$0.00