Medicaid Provider Spending

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

THE PHARMACY OF LONGVIEW LLC

NPI: 1598709800 · LONGVIEW, TX 75601 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/16/2006

$14K
Total Medicaid Paid
423
Total Claims
422
Beneficiaries
4
Codes Billed
2020-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialNOVAK, DON (OWNER)
NPI Enumeration Date06/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $186.33
2021 213 $7K
2022 186 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 133 133 $12K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 128 127 $2K
A7015 Aerosol mask, used with dme nebulizer 145 145 $156.03
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 17 17 $27.75