Medicaid Provider Spending

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

BEAR LAKE DRUG LLC

NPI: 1861806820 · MONTPELIER, ID 83254 · Pharmacy · NPI assigned 06/18/2014

$42K
Total Medicaid Paid
275
Total Claims
272
Beneficiaries
2
Codes Billed
2020-07
First Month
2022-07
Last Month

Provider Details

Authorized OfficialHUMPHERYS, CASEY (PHARMD)
NPI Enumeration Date06/18/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 89 $16K
2021 107 $17K
2022 79 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 233 233 $41K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 42 39 $750.47