Medicaid Provider Spending

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

O CONNELL PHARMACY LTD

NPI: 1457319345 · SUN PRAIRIE, WI 53590 · Pharmacy · NPI assigned 05/02/2006

$28K
Total Medicaid Paid
1,169
Total Claims
604
Beneficiaries
11
Codes Billed
2021-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialO'CONNELL, MICHELLE (OWNER)
NPI Enumeration Date05/02/2006

Related Entities

Other providers sharing the same authorized official: O'CONNELL, MICHELLE

ProviderCityStateTotal Paid
O CONNELL PHARMACY LTD SUN PRAIRIE WI $345K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 107 $1K
2022 47 $511.68
2023 755 $17K
2024 260 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91320 232 120 $12K
A9150 Non-prescription drugs 196 42 $9K
90480 270 143 $4K
90686 155 81 $2K
0001A 17 17 $610.56
0002A 13 13 $496.08
0004A 13 13 $267.12
91300 98 79 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 151 72 $0.00
90656 12 12 $0.00