Medicaid Provider Spending

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

NPI: 1710916416 · PRAIRIE DU SAC, WI 53578 · Pharmacy · NPI assigned 07/03/2006

$2K
Total Medicaid Paid
163
Total Claims
141
Beneficiaries
4
Codes Billed
2021-03
First Month
2022-01
Last Month

Provider Details

Authorized OfficialBALLWEG, DENNIS (OWNER AND PHARMACIST)
NPI Enumeration Date07/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 134 $1K
2022 29 $496.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 35 30 $852.00
0002A 16 15 $572.40
0004A 13 13 $496.08
91300 99 83 $0.00