Medicaid Provider Spending

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

MABIE PHARMACY, LLC

NPI: 1053873521 · COLUMBUS, WI 53925 · Long Term Care Pharmacy · NPI assigned 04/03/2019

$5K
Total Medicaid Paid
401
Total Claims
385
Beneficiaries
9
Codes Billed
2021-04
First Month
2022-01
Last Month

Provider Details

Authorized OfficialMABIE, MATTHEW (OWNER)
NPI Enumeration Date04/03/2019

Related Entities

Other providers sharing the same authorized official: MABIE, MATTHEW

ProviderCityStateTotal Paid
MABIE PHARMACY, LLC MC FARLAND WI $43K
MABIE PHARMACY, LLC COTTAGE GROVE WI $23K
MABIE PHARMACY, LLC MONONA WI $14K
MABIE PHARMACY, LLC DEERFIELD WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 337 $4K
2022 64 $750.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 50 49 $1K
0071A 35 33 $960.00
0072A 30 30 $900.00
0002A 28 28 $810.00
0031A 19 19 $450.00
0003A 14 14 $390.00
91307 71 67 $0.00
91303 19 19 $0.00
91300 135 126 $0.00