Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › PARAGOULD › CITY DRUG CO

CITY DRUG CO

NPI: 1811983406 · PARAGOULD, AR 72450 · Long Term Care Pharmacy · NPI assigned 09/20/2005

$830.29
Total Medicaid Paid
165
Total Claims
152
Beneficiaries
6
Codes Billed
2021-02
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDODD, JIMMY (PRESIDENT OWNER)
NPI Enumeration Date09/20/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 165 $830.29

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 41 41 $321.64
0012A 26 25 $320.00
0013A 15 15 $160.00
0002A 15 13 $28.39
0001A 53 44 $0.13
91301 15 14 $0.13