Medicaid Provider Spending

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

NPI: 1639273691 · PRINCETON, KY 42445 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/12/2006

$0.00
Total Medicaid Paid
125
Total Claims
123
Beneficiaries
4
Codes Billed
2023-10
First Month
2023-11
Last Month

Provider Details

Authorized OfficialTUCKER, JIMMY (OWNER, CEO, PRESIDENT)
NPI Enumeration Date09/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 125 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90674 28 28 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $0.00
91322 34 33 $0.00
888888 34 33 $0.00