Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HILO › MEDIPHARM PHARMACY LLC

MEDIPHARM PHARMACY LLC

NPI: 1013305457 · HILO, HI 96720 · 333600000X

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 260 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1502 Medication admin visit 244 127 $19K
96372 16 16 $0.00