Medicaid Provider Spending

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

NICOLET PHARMACY INC

NPI: 1851321566 · LAKEWOOD, WI 54138 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/05/2006

$3K
Total Medicaid Paid
319
Total Claims
285
Beneficiaries
3
Codes Billed
2021-03
First Month
2022-01
Last Month

Provider Details

Authorized OfficialDONALDSON, GARY (OWNER)
NPI Enumeration Date07/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 305 $3K
2022 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 64 59 $2K
0002A 48 45 $2K
91300 207 181 $0.00