Medicaid Provider Spending

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

WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC

NPI: 1437825569 · KEOSAUQUA, IA 52565 · Clinic/Center · NPI assigned 08/18/2021

$1K
Total Medicaid Paid
120
Total Claims
118
Beneficiaries
2
Codes Billed
2023-06
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWELLS, MYLO (OWNER)
NPI Enumeration Date08/18/2021

Related Entities

Other providers sharing the same authorized official: WELLS, MYLO

ProviderCityStateTotal Paid
WELLS BROS. PHARMACY SERVICES, LLC BLOOMFIELD IA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 120 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 80 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 38 $0.00