Medicaid Provider Spending

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

FROEDTERT HEALTH PHARMACY LLC

NPI: 1669020855 · WEST BEND, WI 53095 · 333600000X

$248.28

Total Medicaid Paid

13

Total Claims

13

Beneficiaries

1

Codes Billed

2020-10

First Month

2020-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	13	$248.28

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90656		13	13	$248.28