Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GRIPKA PHARMACY LLC
NPI: 1073764973 · BASEHOR, KS 66007 ·
Compounding Pharmacy
· NPI assigned 10/09/2008
$0.00
Total Medicaid Paid
471
Total Claims
470
Beneficiaries
7
Codes Billed
2024-07
First Month
2024-10
Last Month
Provider Details
Authorized Official
GRIPKA, HOLLY
(PHARMD/OWNER)
NPI Enumeration Date
10/09/2008
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
471
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
G0008
Administration of influenza virus vaccine
82
82
$0.00
90480
65
65
$0.00
90677
68
68
$0.00
G0009
Administration of pneumococcal vaccine
68
68
$0.00
91320
71
71
$0.00
91322
44
43
$0.00
90653
73
73
$0.00