Medicaid Provider Spending

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

HAYES NEWARK PHARMACY LLC

NPI: 1659866341 · NEWARK, AR 72562 · Community/Retail Pharmacy · NPI assigned 06/26/2018

$6K
Total Medicaid Paid
278
Total Claims
266
Beneficiaries
7
Codes Billed
2021-02
First Month
2021-11
Last Month

Provider Details

Authorized OfficialHAYES, STEPHANIE (PIC/PRESIDENT)
NPI Enumeration Date06/26/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 278 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 33 32 $3K
0001A 41 37 $2K
0011A 76 76 $800.00
0012A 70 65 $600.00
0064A 26 24 $200.00
90686 15 15 $145.26
G0008 Administration of influenza virus vaccine 17 17 $139.05