Medicaid Provider Spending

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

NPI: 1285045377 · TOMAHAWK, WI 54487 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/12/2014

$14K
Total Medicaid Paid
674
Total Claims
641
Beneficiaries
12
Codes Billed
2019-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSTEVENSON, TYLER (OWNER)
NPI Enumeration Date05/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $255.75
2021 436 $9K
2022 70 $610.56
2023 43 $2K
2024 113 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 131 121 $4K
0001A 62 61 $2K
0004A 58 58 $2K
A9150 Non-prescription drugs 100 97 $2K
90686 38 38 $1K
91320 17 12 $917.70
0064A 22 22 $763.20
0071A 13 13 $496.08
90619 13 13 $195.00
91301 43 43 $0.00
91307 30 26 $0.00
91300 147 137 $0.00