Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FAMILY PHARMACY OF MOBRIDGE , INC

NPI: 1144243270 · MOBRIDGE, SD 57601 · Community/Retail Pharmacy · NPI assigned 07/26/2006

$795.88
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2021-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialANDERSEN, SARAH (OWNER)
NPI Enumeration Date07/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $795.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 12 12 $795.88