Medicaid Provider Spending

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

POLKS CROSSGATES DISCOUNT DRUGS INC

NPI: 1932138872 · BRANDON, MS 39047 · Pharmacist · NPI assigned 07/02/2006

$256K
Total Medicaid Paid
310
Total Claims
293
Beneficiaries
4
Codes Billed
2020-06
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHUBBARD, ANDREW (MANGER)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $728.53
2021 26 $4K
2023 153 $142K
2024 107 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 260 244 $251K
A5122 Skin barrier; solid, 8 x 8 or equivalent, each 26 25 $4K
A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each 12 12 $653.40
E0140 Walker, with trunk support, adjustable or fixed height, any type 12 12 $75.13