Medicaid Provider Spending

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

FOLTMER DRUG LLC

NPI: 1649320037 · WRAY, CO 80758 · Long Term Care Pharmacy · NPI assigned 01/10/2007

$9K
Total Medicaid Paid
563
Total Claims
517
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialEVERETT, JOHN (CFO)
NPI Enumeration Date01/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $4K
2019 99 $2K
2020 72 $937.36
2021 28 $409.50
2022 98 $887.51
2023 107 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 535 490 $9K
A4259 Lancets, per box of 100 28 27 $94.06