Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › OCONTO FALLS › GWIDT PHARMACY INC

GWIDT PHARMACY INC

NPI: 1245319912 · OCONTO FALLS, WI 54154 · Pharmacy · NPI assigned 11/03/2006

$572.40
Total Medicaid Paid
49
Total Claims
46
Beneficiaries
2
Codes Billed
2021-09
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSTARRY, TIMOTHY (PRESIDENT)
NPI Enumeration Date11/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 49 $572.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0003A 16 16 $572.40
91300 33 30 $0.00