Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › SEARCY › SJD PHARMACY INC

SJD PHARMACY INC

NPI: 1962026583 · SEARCY, AR 72143 · Community/Retail Pharmacy · NPI assigned 05/29/2020

$20K
Total Medicaid Paid
796
Total Claims
577
Beneficiaries
6
Codes Billed
2021-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDAVIS, STEVEN (OWNER)
NPI Enumeration Date05/29/2020

Related Entities

Other providers sharing the same authorized official: DAVIS, STEVEN

ProviderCityStateTotal Paid
BOTHWELL REGIONAL HEALTH CENTER SEDALIA MO $4.91M
DAVIS RADIOLOGY, P.C. MT PLEASANT IA $1.50M
STEVEN E DAVIS MD INC TORRANCE CA $175K
BOTHWELL REGIONAL HEALTH CENTER COLE CAMP MO $21K
BOTHWELL REGIONAL HEALTH CENTER SEDALIA MO $17K
STEVEN A. DAVIS. O.D., P.S. MILL CREEK WA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 796 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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