Medicaid Provider Spending

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

NPI: 1669712428 · SEARCY, AR 72143 · Community/Retail Pharmacy · NPI assigned 02/15/2013

$5K
Total Medicaid Paid
476
Total Claims
458
Beneficiaries
4
Codes Billed
2020-10
First Month
2022-01
Last Month

Provider Details

Authorized OfficialJOHNSTON, SETH (OWNER/MANAGER)
NPI Enumeration Date02/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $0.00
2021 450 $4K
2022 13 $240.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 180 174 $2K
0011A 203 194 $2K
0064A 80 77 $600.00
G0008 Administration of influenza virus vaccine 13 13 $0.00