Medicaid Provider Spending

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

MERCY HEALTH SYSTEM CORPORATION

NPI: 1851327639 · LAKE GENEVA, WI 53147 · Community/Retail Pharmacy · NPI assigned 06/24/2006

$2K
Total Medicaid Paid
99
Total Claims
96
Beneficiaries
2
Codes Billed
2019-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialJANCZAK, DON (DIRECTOR OF PHARMACY)
Parent OrganizationMERCY HEALTH SYSTEM
NPI Enumeration Date06/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 20 $457.08
2020 36 $921.15
2021 15 $0.00
2022 28 $371.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 69 69 $2K
91300 30 27 $0.00