Medicaid Provider Spending

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

ERICKSONS DIVERSIFIED LLC

NPI: 1114075488 · NEW RICHMOND, WI 54017 · Pharmacy · NPI assigned 01/05/2007

$1K
Total Medicaid Paid
46
Total Claims
46
Beneficiaries
3
Codes Billed
2020-10
First Month
2021-11
Last Month

Provider Details

Authorized OfficialELLIS, AMY (DIRECTOR OF PHARMACY)
NPI Enumeration Date01/05/2007

Related Entities

Other providers sharing the same authorized official: ELLIS, AMY

ProviderCityStateTotal Paid
COUNTY OF PLACER AUBURN CA $27.96M
COUNTY OF PLACER ROSEVILLE CA $16.13M
COUNTY OF PLACER ROCKLIN CA $1.03M
COUNTY OF PLACER AUBURN CA $779K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 18 $351.64
2021 28 $855.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 14 14 $496.08
90688 14 14 $359.43
90658 18 18 $351.64