Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BEAVER DAM
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MIDTOWN PHARMACY EXPRESS, LLC
NPI: 1932442266 · BEAVER DAM, KY 42320 ·
Compounding Pharmacy
· NPI assigned 04/04/2013
$0.00
Total Medicaid Paid
32
Total Claims
27
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month
Provider Details
Authorized Official
FULLER, JOHNATHAN
(OWNER)
NPI Enumeration Date
04/04/2013
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
32
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0012A
15
13
$0.00
0011A
17
14
$0.00