Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › LIHUE › LIHUE PHARMACY INC

LIHUE PHARMACY INC

NPI: 1821074972 · LIHUE, HI 96766 · 332B00000X

$55K
Total Medicaid Paid
522
Total Claims
468
Beneficiaries
7
Codes Billed
2018-06
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $6K
2019 207 $43K
2020 98 $803.78
2021 148 $5K
2022 25 $814.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J2675 Inj progesterone per 50 mg 202 190 $46K
0011A 71 66 $3K
J3490 Drugs unclassified injection 29 29 $2K
0012A 59 55 $2K
0013A 43 36 $1K
90471 83 64 $607.14
90688 35 28 $323.98