Medicaid Provider Spending

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

PARK PHARMACY INC

NPI: 1689677999 · PARK FALLS, WI 54552 · Long Term Care Pharmacy · NPI assigned 05/31/2005

$5K
Total Medicaid Paid
338
Total Claims
310
Beneficiaries
5
Codes Billed
2020-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPECHACEK, MARK (OWNER)
NPI Enumeration Date05/31/2005

Related Entities

Other providers sharing the same authorized official: PECHACEK, MARK

ProviderCityStateTotal Paid
ASHLAND PHARMACY INC ASHLAND WI $5K
WHITE CROSS PHARMACY INC HURLEY WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $499.05
2021 322 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 73 66 $2K
0011A 50 45 $1K
0013A 20 20 $648.72
90688 16 16 $499.05
91301 179 163 $0.00