Medicaid Provider Spending

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

ASCENSION WISCONSIN PHARMACY, INC.

NPI: 1477024479 · RHINELANDER, WI 54501 · Community/Retail Pharmacy · NPI assigned 12/17/2018

$2K
Total Medicaid Paid
224
Total Claims
159
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-08
Last Month

Provider Details

Authorized OfficialSOHN, JONATHAN (CFO)
NPI Enumeration Date12/17/2018

Related Entities

Other providers sharing the same authorized official: SOHN, JONATHAN

ProviderCityStateTotal Paid
ASCENSION ST CLARE'S HOSPITAL, INC WESTON WI $1.11M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 224 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 45 44 $1K
0002A 32 32 $813.16
91300 147 83 $0.00