Medicaid Provider Spending

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

MABIE PHARMACY, LLC

NPI: 1164932091 · DEERFIELD, WI 53531 · Long Term Care Pharmacy · NPI assigned 10/05/2017

$2K
Total Medicaid Paid
157
Total Claims
153
Beneficiaries
5
Codes Billed
2021-04
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMABIE, MATTHEW (OWNER)
Parent OrganizationMABIE PHARMACY, LLC
NPI Enumeration Date10/05/2017

Related Entities

Other providers sharing the same authorized official: MABIE, MATTHEW

ProviderCityStateTotal Paid
MABIE PHARMACY, LLC MC FARLAND WI $43K
MABIE PHARMACY, LLC COTTAGE GROVE WI $23K
MABIE PHARMACY, LLC MONONA WI $14K
MABIE PHARMACY, LLC COLUMBUS WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 157 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 38 37 $879.30
0002A 15 15 $450.00
0001A 16 16 $420.00
0003A 15 15 $390.00
91300 73 70 $0.00