Medicaid Provider Spending

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

PALESTINE FAMILY PHARMACY LLC

NPI: 1912525692 · PALESTINE, AR 72372 · Community/Retail Pharmacy · NPI assigned 07/09/2020

$2K
Total Medicaid Paid
126
Total Claims
126
Beneficiaries
3
Codes Billed
2021-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialACHOR, BRANDON (OWNER)
NPI Enumeration Date07/09/2020

Related Entities

Other providers sharing the same authorized official: ACHOR, BRANDON

ProviderCityStateTotal Paid
REDFIELD PHARMACY MANGEMENT LLC REDFIELD AR $840.00
ACHOR FAMILY PHARMACY, LLC MAUMELLE AR $165.33
ARCARE LONOKE AR $16.94
NASHVILLE FAMILY PHARMACY LLC NASHVILLE AR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 126 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 16 16 $900.00
0012A 47 47 $540.00
0011A 63 63 $370.82