Medicaid Provider Spending

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

KOERNER-WHIPPLE PHARMACIES, INC.

NPI: 1184786113 · HAMPTON, IA 50441 · Compounding Pharmacy · NPI assigned 12/15/2006

$10K
Total Medicaid Paid
758
Total Claims
720
Beneficiaries
6
Codes Billed
2019-06
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWRAGGE, TODD (OWNER/PHARMACIST)
NPI Enumeration Date12/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 81 $1K
2020 148 $2K
2021 337 $4K
2022 77 $1K
2023 115 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 481 448 $8K
0012A 50 49 $1K
0011A 58 54 $1K
90686 13 13 $244.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $25.45
91301 143 143 $0.00