Medicaid Provider Spending

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

BLACK FOREST PHARMACY SERVICES LTD

NPI: 1407960875 · BRAINERD, MN 56401 · Pharmacy · NPI assigned 08/19/2006

$3K
Total Medicaid Paid
223
Total Claims
213
Beneficiaries
4
Codes Billed
2020-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSCHWARTZWALD, MIKE (PRESIDENT)
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: SCHWARTZWALD, MIKE

ProviderCityStateTotal Paid
CI PHARMACY SERVICES LTD CROSBY MN $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $0.00
2021 15 $0.00
2023 193 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99401 85 82 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 101 $1K
0001A 15 15 $0.00
G0008 Administration of influenza virus vaccine 15 15 $0.00