Medicaid Provider Spending

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

WYATT'S RX LLC

NPI: 1649215229 · LITHIA SPRINGS, GA 30122 · Community/Retail Pharmacy · NPI assigned 06/18/2006

$81K
Total Medicaid Paid
510
Total Claims
506
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialJOINES, SWETA (OWNER)
NPI Enumeration Date06/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 510 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0603 Breast pump, electric (ac and/or dc), any type 329 327 $46K
L0627 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 167 165 $33K
L0622 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated 14 14 $2K