Medicaid Provider Spending

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

MEDICINE MAN NORTH PHARMACY INC

NPI: 1023179892 · HAYDEN, ID 83835 · Pharmacy · NPI assigned 12/13/2006

$73K
Total Medicaid Paid
446
Total Claims
352
Beneficiaries
2
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKREIDER, KOREY (COO)
NPI Enumeration Date12/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 88 $13K
2024 358 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 434 340 $73K
99606 12 12 $395.28