Medicaid Provider Spending

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

NPI: 1902012305 · TAMA, IA 52339 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI assigned 05/15/2007

$80K
Total Medicaid Paid
416
Total Claims
309
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-05
Last Month

Provider Details

Authorized OfficialBOLTE, PATRICK (CHIEF PHARMACIST)
NPI Enumeration Date05/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 213 $41K
2019 203 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 208 155 $46K
T1015 Clinic visit/encounter, all-inclusive 208 154 $34K