Medicaid Provider Spending

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

WHBOUTIQUE INC.

NPI: 1780086371 · TYLER, TX 75701 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/25/2014

$1K
Total Medicaid Paid
23
Total Claims
20
Beneficiaries
1
Codes Billed
2023-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialJONES, VICKI (PRESIDENT/CEO)
NPI Enumeration Date09/25/2014

Related Entities

Other providers sharing the same authorized official: JONES, VICKI

ProviderCityStateTotal Paid
WHBOUTIQUE INC. LONGVIEW TX $252K
WHBOUTIQUE INC. DALLAS TX $4K
WHBOUTIQUE INC. DALLAS TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 23 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4467 Belt, strap, sleeve, garment, or covering, any type 23 20 $1K