Medicaid Provider Spending

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

DANDURAND WELLNESS, INC.

NPI: 1356807044 · WICHITA, KS 67214 · Community/Retail Pharmacy · NPI assigned 02/18/2019

$1K
Total Medicaid Paid
543
Total Claims
542
Beneficiaries
12
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSCHMITZ, JASON (DIRECTOR OF PHARMACY OPERATIONS)
NPI Enumeration Date02/18/2019

Related Entities

Other providers sharing the same authorized official: SCHMITZ, JASON

ProviderCityStateTotal Paid
HART PHARMACY INC WICHITA KS $323K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 36 $0.00
2021 153 $240.00
2022 163 $760.58
2023 41 $103.80
2024 150 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0124A 42 42 $600.00
90674 89 89 $264.38
0004A 69 68 $240.00
91312 39 39 $0.00
91320 41 41 $0.00
90661 22 22 $0.00
90480 41 41 $0.00
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 35 35 $0.00
G0009 Administration of pneumococcal vaccine 25 25 $0.00
G0008 Administration of influenza virus vaccine 96 96 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 19 $0.00
90677 25 25 $0.00