Medicaid Provider Spending

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

HEALTH DEPOT PHARMACIES, LLC

NPI: 1730198110 · BARLING, AR 72923 · Pharmacy · NPI assigned 08/05/2006

$2K
Total Medicaid Paid
614
Total Claims
595
Beneficiaries
12
Codes Billed
2019-09
First Month
2022-10
Last Month

Provider Details

Authorized OfficialHALL, JOHN (PRESIDENT)
NPI Enumeration Date08/05/2006

Related Entities

Other providers sharing the same authorized official: HALL, JOHN

ProviderCityStateTotal Paid
INTEGRATED SUPPORT SERVICES LLC OMAHA NE $209K
HEALTH DEPOT PHARMACIES, LLC GREENWOOD AR $4K
HEALTH DEPOT PHARMACIES, LLC FORT SMITH AR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 32 $0.00
2021 450 $2K
2022 132 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 104 102 $686.34
0002A 63 63 $601.64
0003A 64 64 $241.62
90686 43 42 $32.28
G0008 Administration of influenza virus vaccine 99 97 $0.38
91312 19 19 $0.00
0004A 48 47 $0.00
91300 71 59 $0.00
0124A 39 39 $0.00
90653 15 15 $0.00
90674 35 34 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $0.00