Medicaid Provider Spending

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

SHELL LAKE PHARMACY LTD

NPI: 1356413850 · SHELL LAKE, WI 54871 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/14/2006

$3K
Total Medicaid Paid
225
Total Claims
184
Beneficiaries
1
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWILES, PAIGE (ADMIN ASSISTANT)
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: WILES, PAIGE

ProviderCityStateTotal Paid
OWEN-WITHEE PHARMACY INC WITHEE WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 225 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9150 Non-prescription drugs 225 184 $3K