Medicaid Provider Spending

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

NPI: 1770055923 · GOSNELL, AR 72315 · Community/Retail Pharmacy · NPI assigned 12/28/2018

$15K
Total Medicaid Paid
413
Total Claims
391
Beneficiaries
6
Codes Billed
2021-02
First Month
2022-01
Last Month

Provider Details

Authorized OfficialWALLACE, TYSON (OWNER)
NPI Enumeration Date12/28/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 393 $13K
2022 20 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 85 78 $6K
0001A 91 78 $4K
0071A 20 20 $2K
0012A 65 65 $1K
0011A 108 106 $1K
0064A 44 44 $440.00