Medicaid Provider Spending

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

HINES STREET PHARMACY 2 LLC

NPI: 1790439842 · REPUBLIC, MO 65738 · Clinic/Center · NPI assigned 02/08/2022

$52K
Total Medicaid Paid
5,546
Total Claims
2,010
Beneficiaries
6
Codes Billed
2022-05
First Month
2023-08
Last Month

Provider Details

Authorized OfficialMCCLANAHAN, STEVE (OWNER)
NPI Enumeration Date02/08/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,434 $21K
2023 3,112 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99606 3,396 1,164 $37K
99607 1,521 490 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 427 194 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 106 85 $356.34
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 59 49 $0.00