Medicaid Provider Spending

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

NPI: 1902357130 · STATESVILLE, NC 28625 · Community/Retail Pharmacy · NPI assigned 10/24/2016

$2K
Total Medicaid Paid
68
Total Claims
66
Beneficiaries
4
Codes Billed
2021-12
First Month
2022-11
Last Month

Provider Details

Authorized OfficialCHILDRESS, MELINDA (OWNER)
NPI Enumeration Date10/24/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 30 $845.00
2022 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0124A 19 19 $1K
0064A 15 14 $845.00
91306 15 14 $0.00
91312 19 19 $0.00