Medicaid Provider Spending

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

MISSION WELLNESS HEALTHCARE LLC

NPI: 1518394857 · SAN FRANCISCO, CA 94110 · Pharmacy · NPI assigned 10/01/2013

$59K
Total Medicaid Paid
1,105
Total Claims
685
Beneficiaries
6
Codes Billed
2021-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialANDRZEJEK, MARIA (DIRECTOR)
NPI Enumeration Date10/01/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,105 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 440 255 $45K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 365 216 $10K
99401 244 158 $3K
0004A 12 12 $600.00
0072A 25 25 $520.00
0071A 19 19 $120.00