Medicaid Provider Spending

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

LIBERTY DRUG

NPI: 1093346546 · MURRAY, UT 84123 · Long Term Care Pharmacy · NPI assigned 02/03/2020

$42K
Total Medicaid Paid
463
Total Claims
390
Beneficiaries
2
Codes Billed
2020-08
First Month
2022-12
Last Month

Provider Details

Authorized OfficialMERCHANT, JENNIFER (OWNER)
NPI Enumeration Date02/03/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 106 $5K
2021 92 $3K
2022 265 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5520 Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion 233 197 $42K
E0791 Parenteral infusion pump, stationary, single or multi-channel 230 193 $0.00