Medicaid Provider Spending

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

MEDIPHARM PHARMACY LLC

NPI: 1013305457 · HILO, HI 96720 · Pharmacy · NPI assigned 01/08/2015

$19K
Total Medicaid Paid
260
Total Claims
143
Beneficiaries
2
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAHLEM, SCOTT (OFFICE MANAGER)
NPI Enumeration Date01/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 260 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 244 127 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 16 $0.00