Medicaid Provider Spending

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

DELLWOOD PHARMACY LLC

NPI: 1194356667 · SAINT LOUIS, MO 63136 · Clinical Medical Laboratory · NPI assigned 02/03/2020

$19K
Total Medicaid Paid
983
Total Claims
712
Beneficiary Records
5
Codes Billed
2020-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMAWUENYEGA, REBECCA (OWNER/MANAGER)
NPI Enumeration Date02/03/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 47 $0.00
2021 387 $0.00
2022 463 $14K
2023 52 $2K
2024 34 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 708 449 $16K
99607 21 21 $2K
99605 13 13 $975.00
G0009 Administration of pneumococcal vaccine 45 45 $0.00
G0008 Administration of influenza virus vaccine 196 184 $0.00