Medicaid Provider Spending

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

LIFE CHANGE RX LLC

NPI: 1437672797 · MILWAUKEE, WI 53204 · 261QH0100X

$90K
Total Medicaid Paid
3,977
Total Claims
3,672
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 676 $35K
2019 394 $16K
2020 129 $5K
2021 1,905 $24K
2022 494 $4K
2023 192 $5K
2024 187 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 793 702 $48K
0002A 550 530 $15K
99606 444 383 $14K
0001A 463 451 $12K
0011A 18 18 $510.00
0012A 16 16 $480.00
91300 1,053 936 $0.00
91312 58 58 $0.00
0124A 58 58 $0.00
90674 102 100 $0.00
91301 71 70 $0.00
A4627 Spacer bag/reservoir 266 265 $0.00
90686 49 49 $0.00
90688 36 36 $0.00