Medicaid Provider Spending

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

HEIKE PHARMACY INC

NPI: 1396731592 · DURAND, WI 54736 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/22/2005

$3K
Total Medicaid Paid
268
Total Claims
256
Beneficiaries
4
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, LARA (MNG SECRETARY)
NPI Enumeration Date09/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20 $475.95
2019 14 $391.50
2021 61 $480.00
2022 18 $0.00
2024 155 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9150 Non-prescription drugs 155 151 $2K
90686 34 33 $867.45
0003A 19 17 $480.00
91300 60 55 $0.00