Medicaid Provider Spending

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

HEALTH DEPOT PHARMACIES, LLC

NPI: 1801808837 · GREENWOOD, AR 72936 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/11/2006

$4K
Total Medicaid Paid
295
Total Claims
261
Beneficiaries
5
Codes Billed
2018-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialHALL, JOHN (PRESIDENT)
NPI Enumeration Date08/11/2006

Related Entities

Other providers sharing the same authorized official: HALL, JOHN

ProviderCityStateTotal Paid
INTEGRATED SUPPORT SERVICES LLC OMAHA NE $209K
HEALTH DEPOT PHARMACIES, LLC FORT SMITH AR $3K
HEALTH DEPOT PHARMACIES, LLC BARLING AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $0.00
2019 12 $0.00
2020 18 $0.00
2021 236 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 24 24 $2K
0001A 62 61 $2K
G0008 Administration of influenza virus vaccine 61 61 $0.00
90662 12 12 $0.00
91300 136 103 $0.00