Medicaid Provider Spending

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

D.L. BAKER DRUG CO., INC.

NPI: 1699789545 · NORTH LITTLE ROCK, AR 72117 · Pharmacist · NPI assigned 07/28/2006

$22K
Total Medicaid Paid
1,775
Total Claims
1,712
Beneficiaries
12
Codes Billed
2021-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKASSISSIEH, RANDY (PHARMACIST/OWNER)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: KASSISSIEH, RANDY

ProviderCityStateTotal Paid
ROSE DRUG OF RUSSELLVILLE INC RUSSELLVILLE AR $5K
ST. FRANCIS DISCOUNT PHARMACY LLC FORREST CITY AR $166.35

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,238 $20K
2022 331 $2K
2023 206 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 147 147 $6K
0001A 160 157 $6K
0011A 223 209 $3K
0012A 180 172 $2K
0031A 119 114 $2K
0071A 13 13 $1K
0064A 104 104 $960.00
0004A 48 45 $720.00
91301 159 141 $1.33
91300 75 65 $0.73
91303 53 52 $0.38
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 494 493 $0.00