Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ROSE DRUG OF RUSSELLVILLE INC
NPI: 1669487294 · RUSSELLVILLE, AR 72801 ·
3336L0003X
$5K
Total Medicaid Paid
457
Total Claims
355
Beneficiaries
8
Codes Billed
2021-03
First Month
2021-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
457
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0001A
23
21
$1K
0002A
17
15
$1K
0011A
127
100
$896.94
0012A
109
88
$720.00
0064A
40
40
$640.00
91301
87
43
$0.35
91300
42
36
$0.26
0013A
12
12
$0.00