Medicaid Provider Spending

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

COSTCO WHOLESALE CORPORATION

NPI: 1336259944 · IWILEI, HI 96817 · Pharmacy · NPI assigned 08/30/2006

$0.00
Total Medicaid Paid
114
Total Claims
114
Beneficiaries
6
Codes Billed
2021-05
First Month
2022-01
Last Month

Provider Details

Authorized OfficialSTEPHENS, RICHARD (SVP PHARMACY)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: STEPHENS, RICHARD

ProviderCityStateTotal Paid
COSTCO WHOLESALE CORPORATION HONOLULU HI $0.00
COSTCO WHOLESALE CORPORATION KAILUA KONA HI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 87 $0.00
2022 27 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 43 43 $0.00
0054A 15 15 $0.00
0012A 15 15 $0.00
0064A 13 13 $0.00
0011A 14 14 $0.00
90674 14 14 $0.00