Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MOUNT HOREB FAMILY PHARMACY LLC

NPI: 1003914045 · MOUNT HOREB, WI 53572 · Pharmacy · NPI assigned 09/21/2006

$10K
Total Medicaid Paid
616
Total Claims
560
Beneficiaries
10
Codes Billed
2021-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEILAND, JENNIFER (OWNER)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 537 $8K
2022 52 $496.08
2023 15 $1K
2024 12 $269.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0071A 90 81 $3K
0072A 78 76 $3K
90678 15 12 $1K
0002A 30 30 $1K
0001A 44 40 $1K
0003A 20 15 $496.08
90688 12 12 $269.40
91300 206 194 $0.00
91307 103 85 $0.00
91301 18 15 $0.00