Medicaid Provider Spending

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

SJD PHARMACY INC

NPI: 1962026583 · SEARCY, AR 72143 · 3336C0003X

$20K

Total Medicaid Paid

796

Total Claims

577

Beneficiaries

6

Codes Billed

2021-01

First Month

2021-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	796	$20K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0002A		281	189	$11K
0001A		290	199	$7K
0012A		88	76	$1K
0011A		103	84	$947.76
0064A		17	14	$240.00
0013A		17	15	$120.00