Medicaid Provider Spending

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

EASTSIDE PHARMACY, INC.

NPI: 1750421079 · POPLAR BLUFF, MO 63901 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/07/2007

$1K
Total Medicaid Paid
1,332
Total Claims
1,221
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialROWLAND, STEPHEN (PHARMACIST/OWNER)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 494 $778.53
2019 246 $378.00
2020 370 $275.55
2021 171 $47.16
2022 51 $3.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 94 93 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 962 879 $457.65
A4259 Lancets, per box of 100 276 249 $12.02