Medicaid Provider Spending

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

DRUG ROOM INC

NPI: 1861528267 · PINE BLUFF, AR 71603 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/27/2007

$80.00

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2021-10

First Month

2023-11

Last Month

Authorized Official	STOVER, DAVID (PHARM AND OWNER)
NPI Enumeration Date	02/27/2007

Year	Claims	Total Paid
2021	12	$80.00
2023	12	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
0003A		12	12	$80.00
G0008	Administration of influenza virus vaccine	12	12	$0.00