Medicaid Provider Spending

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

MEDICINE MAN BONNERS FERRY PHARMACY LLC

NPI: 1578826178 · BONNERS FERRY, ID 83805 · Compounding Pharmacy · NPI assigned 06/19/2012

$2K
Total Medicaid Paid
185
Total Claims
127
Beneficiaries
3
Codes Billed
2018-10
First Month
2022-12
Last Month

Provider Details

Authorized OfficialSTUERMER, AIMEE (CO-OWNER)
NPI Enumeration Date06/19/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $0.00
2019 12 $145.91
2020 18 $217.99
2021 90 $981.21
2022 28 $236.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 148 90 $2K
90686 18 18 $0.00
G0008 Administration of influenza virus vaccine 19 19 $0.00