Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › WHITE HALL › WHITEHALL PHARMACY LLC

WHITEHALL PHARMACY LLC

NPI: 1962636829 · WHITE HALL, AR 71602 · 3336C0003X

$22K
Total Medicaid Paid
1,545
Total Claims
1,390
Beneficiaries
12
Codes Billed
2021-03
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,448 $21K
2022 97 $880.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 343 312 $11K
0001A 564 504 $9K
0004A 28 28 $880.00
0124A 12 12 $400.00
0064A 16 16 $320.00
0011A 41 41 $200.00
0003A 19 19 $160.00
91300 466 402 $2.56
91307 13 13 $0.12
91305 15 15 $0.12
91312 12 12 $0.10
91306 16 16 $0.08