Medicaid Provider Spending

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

CHARLIE'S PHARMACY OF MULLENS, LLC

NPI: 1942499223 · MULLENS, WV 25882 · Community/Retail Pharmacy · NPI assigned 10/23/2007

$0.00
Total Medicaid Paid
128
Total Claims
128
Beneficiaries
1
Codes Billed
2023-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWILSON, KEVIN (MANAGER)
NPI Enumeration Date10/23/2007

Related Entities

Other providers sharing the same authorized official: WILSON, KEVIN

ProviderCityStateTotal Paid
FAMILY DENTAL CARE OF MILFORD, PROF. ASSN. MILFORD NH $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 128 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 128 128 $0.00