PHARMSCRIPT OF WI LLC
NPI: 1316329634
· JACKSON, WI 53037
· Clinic Pharmacy
· NPI assigned 06/23/2015
$371K
Total Medicaid Paid
Provider Details
| Authorized Official | HOFF, CHANA (VP OF FINANCIAL OPERATIONS) |
| NPI Enumeration Date | 06/23/2015 |
Related Entities
Other providers sharing the same authorized official: HOFF, CHANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
83 |
$443.17 |
| 2019 |
63 |
$499.05 |
| 2020 |
19 |
$531.02 |
| 2021 |
51 |
$2K |
| 2022 |
38 |
$1K |
| 2023 |
31 |
$510.00 |
| 2024 |
16,170 |
$366K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A9150 |
Non-prescription drugs |
16,149 |
1,567 |
$366K |
| 90686 |
|
81 |
81 |
$2K |
| 90674 |
|
45 |
45 |
$1K |
| 90756 |
|
25 |
25 |
$764.29 |
| 90656 |
|
21 |
21 |
$525.00 |
| 90688 |
|
30 |
30 |
$499.05 |
| 90658 |
|
26 |
22 |
$363.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
72 |
$0.00 |