Medicaid Provider Spending

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

ROACH ENTERPRISES INC

NPI: 1932271590 · MARKED TREE, AR 72365 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/15/2006

$2K
Total Medicaid Paid
763
Total Claims
728
Beneficiaries
5
Codes Billed
2019-10
First Month
2023-05
Last Month

Provider Details

Authorized OfficialROACH, DONNI (PRESIDENT)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: ROACH, DONNI

ProviderCityStateTotal Paid
ACTION MEDICAL SUPPLY, LLC TRUMANN AR $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $341.46
2021 327 $2K
2022 256 $0.00
2023 168 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 138 118 $844.70
0012A 130 119 $828.39
0064A 59 57 $480.00
A4554 Disposable underpads, all sizes 12 12 $341.46
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 424 422 $0.00