Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › HOLLY SPRINGS › TYSON DRUGS INC

TYSON DRUGS INC

NPI: 1972508695 · HOLLY SPRINGS, MS 38635 · Pharmacy · NPI assigned 06/17/2005

$4K
Total Medicaid Paid
103
Total Claims
45
Beneficiaries
1
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOMENICK, ROBERT (OWNER)
NPI Enumeration Date06/17/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 103 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99606 103 45 $4K