Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › PACIFIC › PACIFIC RX INC

PACIFIC RX INC

NPI: 1629578927 · PACIFIC, MO 63069 · Pharmacy · NPI assigned 02/14/2018

$16K
Total Medicaid Paid
426
Total Claims
339
Beneficiaries
2
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCALLAHAN, JERRY (VP)
NPI Enumeration Date02/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 27 $2K
2024 399 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99606 286 227 $9K
99607 140 112 $7K