Medicaid Provider Spending

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

PCA-CORRECTIONS LLC

NPI: 1639608458 · INDIANAPOLIS, IN 46268 · Compounding Pharmacy · NPI assigned 06/06/2017

$6K
Total Medicaid Paid
7,559
Total Claims
6,772
Beneficiaries
13
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIETROWSKI, CRISTINA (EVP, CHIEF LEGAL OFFICER & SECRETAR)
NPI Enumeration Date06/06/2017

Related Entities

Other providers sharing the same authorized official: PIETROWSKI, CRISTINA

ProviderCityStateTotal Paid
TRILOGY HEALTHCARE OF NORTH BALTIMORE LLC NORTH BALTIMORE OH $20K
PCA-CORRECTIONS LLC LOUISVILLE KY $5K
ARLINGTON DIALYSIS, LLC INDIANAPOLIS IN $2K
PCA-CORRECTIONS LLC HILLIARD OH $445.21
PCA IOWA RX, LLC URBANDALE IA $363.96
TRILOGY HEALTHCARE OF HANCOCK, LLC FINDLAY OH $0.00
PARAGON OUTPATIENT REHABILITATION SERVICES, LLC LOUISVILLE KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,002 $0.00
2022 2,694 $0.00
2023 675 $0.00
2024 1,188 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 669 435 $6K
90686 37 25 $0.00
0012A 438 437 $0.00
0064A 1,093 1,093 $0.00
0134A 639 625 $0.00
G0008 Administration of influenza virus vaccine 552 380 $0.00
0011A 445 444 $0.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 35 26 $0.00
90480 48 26 $0.00
0013A 2,381 2,377 $0.00
90662 480 323 $0.00
91322 48 26 $0.00
0124A 694 555 $0.00