Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › AFFTON › TOMLYN, INC

TOMLYN, INC

NPI: 1821181355 · AFFTON, MO 63123 · Compounding Pharmacy · NPI assigned 10/02/2006

$55K
Total Medicaid Paid
1,028
Total Claims
955
Beneficiaries
5
Codes Billed
2022-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialWANG, JASON (PRESIDENT)
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: WANG, JASON

ProviderCityStateTotal Paid
DESERT PEDIATRICS, LLC EL PASO TX $97K
PEVELY RX PEVELY MO $56K
MS MGC INC MONTGOMERY CITY MO $900.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 36 $259.14
2023 896 $48K
2024 96 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99607 405 379 $32K
99605 216 208 $15K
99606 153 143 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 198 175 $2K
90472 Immunization administration, each additional vaccine (list separately) 56 50 $370.00