Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › MOUNTAIN CITY › BOONE DRUGS INC

BOONE DRUGS INC

NPI: 1912086182 · MOUNTAIN CITY, TN 37683 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 11/06/2006

$7K
Total Medicaid Paid
580
Total Claims
554
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialHODGES, SPENCER (VICE PRESIDENT)
NPI Enumeration Date11/06/2006

Related Entities

Other providers sharing the same authorized official: HODGES, SPENCER

ProviderCityStateTotal Paid
EBP LLC HILDEBRAN NC $715.00
HALSEY DRUG LLC WARRENSVILLE NC $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 192 $4K
2019 305 $2K
2020 83 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 406 383 $7K
E0570 Nebulizer, with compressor 174 171 $187.73