Medicaid Provider Spending

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

LONG LIFE PHARMACY 2 LLC

NPI: 1497355002 · WEST ALLIS, WI 53214 · 333600000X

$67K

Total Medicaid Paid

1,668

Total Claims

1,511

Beneficiaries

11

Codes Billed

2021-04

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	257	$3K
2022	50	$2K
2023	12	$410.85
2024	1,349	$61K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99605		795	702	$47K
90656		331	330	$5K
0001A		121	101	$3K
91322		24	24	$3K
99606		157	136	$3K
90674		50	50	$2K
91321		12	12	$2K
90715		15	15	$826.07
90686		12	12	$410.85
90658		15	15	$268.72
91300		136	114	$0.00