Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HERRON PHARMACY LLC

NPI: 1629568795 · ADEL, IA 50003 · Community/Retail Pharmacy · NPI assigned 05/15/2018

$240.00
Total Medicaid Paid
50
Total Claims
47
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-05
Last Month

Provider Details

Authorized OfficialHERRON, LESLIE (PRESIDENT)
NPI Enumeration Date05/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 50 $240.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 15 13 $240.00
91301 35 34 $0.00