Medicaid Provider Spending

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

MABIE PHARMACY, LLC

NPI: 1366952293 · MC FARLAND, WI 53558 · Long Term Care Pharmacy · NPI assigned 10/05/2017

$43K
Total Medicaid Paid
1,353
Total Claims
470
Beneficiaries
9
Codes Billed
2020-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMABIE, MATTHEW (OWNER)
Parent OrganizationMABIE PHARMACY, LLC
NPI Enumeration Date10/05/2017

Related Entities

Other providers sharing the same authorized official: MABIE, MATTHEW

ProviderCityStateTotal Paid
MABIE PHARMACY, LLC COTTAGE GROVE WI $23K
MABIE PHARMACY, LLC MONONA WI $14K
MABIE PHARMACY, LLC COLUMBUS WI $5K
MABIE PHARMACY, LLC DEERFIELD WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $318.90
2021 327 $4K
2022 66 $976.04
2024 944 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9150 Non-prescription drugs 944 85 $38K
0071A 48 48 $1K
0072A 39 39 $1K
0001A 42 39 $1K
90686 35 34 $694.94
0003A 21 21 $600.00
0002A 15 15 $450.00
91307 88 82 $0.00
91300 121 107 $0.00