Medicaid Provider Spending

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

PENINSULA PHARMACIES INC

NPI: 1255416038 · ILWACO, WA 98624 · Community/Retail Pharmacy · NPI assigned 10/27/2006

$13K
Total Medicaid Paid
1,190
Total Claims
1,152
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSUTHERLAND, TOM (PHARMACIST)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 296 $3K
2019 324 $4K
2020 307 $3K
2022 34 $0.00
2023 118 $1K
2024 111 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1,156 1,118 $13K
G0008 Administration of influenza virus vaccine 19 19 $0.00
90694 15 15 $0.00