Medicaid Provider Spending

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

REDLERS LTC PHARMACY LLC

NPI: 1770961112 · OMAHA, NE 68138 · Long Term Care Pharmacy · NPI assigned 05/18/2015

$52K
Total Medicaid Paid
1,371
Total Claims
1,063
Beneficiary Records
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialREDLER, TROY (PRESIDENT)
NPI Enumeration Date05/18/2015

Related Entities

Other providers sharing the same authorized official: REDLER, TROY

ProviderCityStateTotal Paid
REDLERS LONG TERM CARE PHARMACY DAKOTA DUNES SD $360.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $7K
2019 31 $1K
2020 53 $2K
2021 674 $18K
2022 341 $20K
2023 87 $4K
2024 75 $194.50

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 831 577 $47K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 39 30 $2K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 12 12 $1K
0004A 34 33 $302.44
0064A 55 54 $186.25
91320 38 38 $155.89
0012A 188 145 $44.49
90480 39 39 $38.61
0011A 74 74 $5.79
90662 14 14 $0.00
90686 16 16 $0.00
G0008 Administration of influenza virus vaccine 31 31 $0.00