Medicaid Provider Spending

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

NPI: 1467746768 · LINCOLN, NE 68516 · Pharmacy · NPI assigned 06/03/2011

$1K
Total Medicaid Paid
113
Total Claims
113
Beneficiaries
5
Codes Billed
2019-11
First Month
2022-10
Last Month

Provider Details

Authorized OfficialHAMMERSCHMIDT, SHANNON (PHARMACIST IN CHARGE)
NPI Enumeration Date06/03/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $1K
2021 51 $103.67
2022 50 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 12 12 $1K
90694 19 19 $66.42
0004A 12 12 $37.25
G0008 Administration of influenza virus vaccine 48 48 $0.00
90662 22 22 $0.00