Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HUDSON PHARMACY INC
NPI: 1689662819 · VAN BUREN, AR 72956 ·
183500000X
$11K
Total Medicaid Paid
1,035
Total Claims
923
Beneficiaries
8
Codes Billed
2021-01
First Month
2021-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
1,035
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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
Pne flu hepb cov home admin
64
63
$0.00