Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FIVE POINTS PHARMA
NPI: 1639535156 · CONOVER, NC 28613 ·
Pharmacy
· NPI assigned 01/13/2016
$5K
Total Medicaid Paid
230
Total Claims
204
Beneficiaries
6
Codes Billed
2020-10
First Month
2023-10
Last Month
Provider Details
Authorized Official
CROSS, KELLY
(PHARMACIST/OWNER)
NPI Enumeration Date
01/13/2016
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
32
$481.71
2021
110
$3K
2022
35
$550.45
2023
53
$896.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0031A
29
29
$2K
90686
53
53
$1K
90471
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine
67
67
$877.80
0013A
26
13
$845.00
91303
29
29
$0.00
91301
26
13
$0.00