Medicaid Provider Spending

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

JEFFREYS DRUG STORE INC.

NPI: 1831102912 · CANONSBURG, PA 15317 · Community/Retail Pharmacy · NPI assigned 08/13/2006

$1K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2022-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialOHARE, GERARD (OWNER)
NPI Enumeration Date08/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 20 $663.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 20 $374.00