Medicaid Provider Spending

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

NPI: 1265459614 · WINSTON SALEM, NC 27103 · Institutional Pharmacy · NPI assigned 07/15/2006

$0.00
Total Medicaid Paid
1,002
Total Claims
610
Beneficiaries
8
Codes Billed
2019-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialWHITSELL, RICHARD (SENIOR VICE PRESIDENT)
NPI Enumeration Date07/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 47 $0.00
2021 743 $0.00
2022 212 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 101 47 $0.00
91301 394 188 $0.00
0134A 74 74 $0.00
0064A 123 77 $0.00
91306 32 31 $0.00
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 47 44 $0.00
0012A 157 75 $0.00
91313 74 74 $0.00