Medicaid Provider Spending

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

HUDSON PHARMACY INC

NPI: 1689662819 · VAN BUREN, AR 72956 · Pharmacist · NPI assigned 10/11/2005

$11K
Total Medicaid Paid
1,035
Total Claims
923
Beneficiaries
8
Codes Billed
2021-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSMITH, NATALIE (OWNER)
NPI Enumeration Date10/11/2005

Related Entities

Other providers sharing the same authorized official: SMITH, NATALIE

ProviderCityStateTotal Paid
AWAKE AND AWARE, LLC ALBUQUERQUE NM $2.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,035 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 105 66 $4K
0001A 143 106 $3K
0012A 227 209 $2K
0011A 236 228 $2K
0064A 58 57 $160.00
91301 93 92 $0.01
91300 109 102 $0.00
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 64 63 $0.00