Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › LIFE TREE PHARMACY LLC

LIFE TREE PHARMACY LLC

NPI: 1649706714 · MILWAUKEE, WI 53218 · Community/Retail Pharmacy · NPI assigned 05/10/2017

$18K
Total Medicaid Paid
870
Total Claims
640
Beneficiaries
5
Codes Billed
2021-03
First Month
2022-02
Last Month

Provider Details

Authorized OfficialEZEKIEL, BENJAMIN (PHJARMACIST-IN-CHARGE)
NPI Enumeration Date05/10/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 854 $17K
2022 16 $572.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 618 465 $13K
0012A 206 134 $4K
0013A 16 15 $572.40
0002A 14 12 $419.76
0001A 16 14 $267.12