ASSISTED LIVING PHARMACY SERVICE, LLC
NPI: 1285625681
· MENOMONEE FALLS, WI 53051
· Long Term Care Pharmacy
· NPI assigned 11/03/2005
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | HUIBREGTSE, DAVID (MANAGING MEMBER) |
| NPI Enumeration Date | 11/03/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
268 |
$3K |
| 2024 |
6,521 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
6,521 |
639 |
$104K |
| 0002A |
|
50 |
50 |
$2K |
| 0001A |
|
62 |
60 |
$1K |
| 0003A |
|
16 |
16 |
$419.76 |
| 91300 |
|
140 |
136 |
$0.00 |