Medicaid Provider Spending

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

ESTHERVILLE PHARMACY, L.L.C.

NPI: 1063562890 · ESTHERVILLE, IA 51334 · Pharmacy · NPI assigned 01/12/2007

$5K
Total Medicaid Paid
791
Total Claims
499
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-05
Last Month

Provider Details

Authorized OfficialOLSEN, LINDA (OFFICE MANAGER)
NPI Enumeration Date01/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 791 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 192 121 $3K
0001A 206 131 $2K
91300 393 247 $0.00