Medicaid Provider Spending

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

SAWYER STREET HOMETOWN PHARMACY LLC

NPI: 1558607283 · OSHKOSH, WI 54902 · 333600000X

$13K
Total Medicaid Paid
248
Total Claims
208
Beneficiaries
5
Codes Billed
2021-04
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 135 $1K
2024 113 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9150 Misc/exper non-prescript dru 113 89 $11K
0001A 17 17 $537.12
0002A 12 12 $457.92
0004A 13 13 $457.92
91300 93 77 $0.00