NEENAH HOMETOWN PHARMACY LLC
NPI: 1407108426
· NEENAH, WI 54956
· 332B00000X
$970.26
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$286.02 |
| 2021 |
53 |
$684.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
21 |
18 |
$684.24 |
| 90686 |
|
12 |
12 |
$286.02 |
| 91300 |
|
32 |
22 |
$0.00 |