Medicaid Provider Spending

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

WIL-MAR CORPORATION

NPI: 1144638123 · SINAJANA, GU 96910 · Pharmacy · NPI assigned 07/23/2014

$10K
Total Medicaid Paid
915
Total Claims
874
Beneficiaries
4
Codes Billed
2018-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialCHARGUALAF, MARY (BUSINESS MANAGER)
NPI Enumeration Date07/23/2014

Related Entities

Other providers sharing the same authorized official: CHARGUALAF, MARY

ProviderCityStateTotal Paid
RAN-CARE INC MANGILAO GU $7K
PRIME CARE INC TAMUNING GU $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89 $677.52
2019 133 $2K
2020 378 $3K
2021 228 $3K
2022 27 $358.80
2023 60 $739.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4206 Syringe with needle, sterile, 1 cc or less, each 816 777 $8K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 60 58 $1K
A4211 Supplies for self-administered injections 12 12 $102.60
A4259 Lancets, per box of 100 27 27 $38.34