Medicaid Provider Spending

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

SBW PHARMACY, INC.

NPI: 1619015674 · TRANSFER, PA 16154 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/02/2007

$2K
Total Medicaid Paid
110
Total Claims
110
Beneficiaries
4
Codes Billed
2022-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWALBERG, BRETTON (PRESIDENT)
NPI Enumeration Date02/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 36 $396.00
2023 36 $716.55
2024 38 $596.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90756 33 33 $683.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 39 $429.00
90658 19 19 $381.86
G0008 Administration of influenza virus vaccine 19 19 $214.72