Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › CRANDON › MIDE INC.

MIDE INC.

NPI: 1336295245 · CRANDON, WI 54520 · Pharmacist · NPI assigned 01/25/2007

$5K
Total Medicaid Paid
147
Total Claims
143
Beneficiaries
2
Codes Billed
2021-04
First Month
2022-01
Last Month

Provider Details

Authorized OfficialMOIOFFER, DEBRA (PRESIDENT)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 125 $4K
2022 22 $763.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 120 118 $4K
0011A 27 25 $954.00