Medicaid Provider Spending

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

HAYAT PHARMACY 5 LLC

NPI: 1114224649 · MILWAUKEE, WI 53205 · 333600000X

$688K
Total Medicaid Paid
31,399
Total Claims
29,239
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $18K
2019 1,358 $42K
2020 2,157 $65K
2021 20,229 $367K
2022 5,987 $127K
2023 937 $53K
2024 193 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 2,037 1,893 $142K
0001A 2,710 2,617 $95K
0002A 2,328 2,266 $86K
0012A 1,400 1,360 $50K
0011A 1,496 1,433 $41K
99606 996 852 $38K
91322 268 257 $37K
0003A 959 931 $34K
0071A 784 730 $28K
90686 1,181 1,162 $28K
0013A 747 733 $27K
0072A 564 538 $20K
90674 356 353 $11K
90688 550 527 $10K
0124A 242 242 $9K
0031A 193 189 $7K
91321 43 41 $6K
91320 35 35 $4K
0134A 125 125 $4K
0004A 76 74 $3K
0064A 49 49 $2K
90756 117 115 $2K
0111A 34 33 $1K
0073A 79 75 $1K
A4627 Spacer bag/reservoir 71 70 $954.75
90658 24 20 $595.76
0154A 13 12 $329.89
91300 6,215 5,535 $2.30
91312 254 254 $0.00
91313 124 124 $0.00
91311 43 41 $0.00
91301 3,705 3,453 $0.00
99607 1,794 1,539 $0.00
91307 1,518 1,299 $0.00
91306 49 49 $0.00
91303 194 189 $0.00
91315 13 12 $0.00
91305 13 12 $0.00