Medicaid Provider Spending

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

NPI: 1669837530 · WACONIA, MN 55387 · Compounding Pharmacy · NPI assigned 12/21/2015

$2K
Total Medicaid Paid
1,062
Total Claims
1,062
Beneficiaries
8
Codes Billed
2018-09
First Month
2023-09
Last Month

Provider Details

Authorized OfficialLOEGERING, RYAN (PRESIDENT)
NPI Enumeration Date12/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108 $0.00
2019 122 $0.00
2020 156 $0.00
2021 183 $530.91
2022 344 $733.32
2023 149 $583.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90674 232 232 $1K
0064A 66 66 $526.50
90686 208 208 $206.82
91313 17 17 $0.00
0013A 44 44 $0.00
G0008 Administration of influenza virus vaccine 398 398 $0.00
0134A 83 83 $0.00
91306 14 14 $0.00