Medicaid Provider Spending

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

KUBAT PHARMACY, LLC

NPI: 1538765920 · NORFOLK, NE 68701 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/10/2020

$4K
Total Medicaid Paid
193
Total Claims
190
Beneficiaries
4
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDANIEL, BRIAN (EVP MEDICAL OPERATIONS)
Parent OrganizationPERCIPIO RESPIRATORY HOLDCO, LLC
NPI Enumeration Date12/10/2020

Related Entities

Other providers sharing the same authorized official: DANIEL, BRIAN

ProviderCityStateTotal Paid
KUBAT PHARMACY, LLC OMAHA NE $4.08M
KUBAT PHARMACY, LLC FREMONT NE $487K
DEINES PHARMACY, LLC BEATRICE NE $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 193 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0601 Continuous positive airway pressure (cpap) device 75 75 $2K
E0562 Humidifier, heated, used with positive airway pressure device 92 91 $1K
A7035 Headgear used with positive airway pressure device 13 12 $184.41
A7038 Filter, disposable, used with positive airway pressure device 13 12 $42.05