Medicaid Provider Spending

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

NPI: 1346791753 · THIENSVILLE, WI 53092 · Pharmacy · NPI assigned 10/20/2016

$10K
Total Medicaid Paid
590
Total Claims
324
Beneficiaries
7
Codes Billed
2020-06
First Month
2023-06
Last Month

Provider Details

Authorized OfficialELIWA, OMAR (OWNER, RPH, AO)
NPI Enumeration Date10/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 23 $2K
2021 551 $7K
2023 16 $850.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 254 129 $3K
99605 39 35 $3K
0001A 199 97 $2K
0071A 43 22 $725.04
0013A 20 12 $343.44
0003A 15 14 $116.32
0072A 20 15 $114.48