Medicaid Provider Spending

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

WELLSPAN PHARMACY, INC

NPI: 1871645580 · YORK, PA 17403 · 332B00000X

$282K
Total Medicaid Paid
4,535
Total Claims
3,405
Beneficiaries
9
Codes Billed
2020-09
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 632 $29K
2021 2,397 $152K
2022 1,429 $97K
2023 77 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4534 Youth size pull-on 1,145 908 $106K
B4160 Ef ped caloric dense>/=0.7kc 277 246 $62K
A5120 Skin barrier, wipe or swab 1,360 1,019 $36K
T4531 Ped size pull-on sm/med 419 325 $30K
T4533 Youth size brief/diaper 315 203 $21K
T4530 Ped size brief/diaper lg 202 126 $14K
T4541 Large disposable underpad 749 517 $7K
T4532 Ped size pull-on lg 55 48 $4K
T4529 Ped size brief/diaper sm/med 13 13 $1K