Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › WAIPAHU › 5 MINUTE PHARMACY LTC LLC

5 MINUTE PHARMACY LTC LLC

NPI: 1336427509 · WAIPAHU, HI 96797 · Pharmacy · NPI assigned 07/21/2011

$11K
Total Medicaid Paid
70
Total Claims
51
Beneficiaries
1
Codes Billed
2023-12
First Month
2024-04
Last Month

Provider Details

Authorized OfficialTENGAN, DEREK (MEMBER)
NPI Enumeration Date07/21/2011

Related Entities

Other providers sharing the same authorized official: TENGAN, DEREK

ProviderCityStateTotal Paid
5 MINUTE PHARMACY SBC HONOLULU HI $461K
OUTREACH MEDICAL GROUP DOWNTOWN LLC HONOLULU HI $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 18 $3K
2024 52 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 70 51 $11K