Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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IPACK PHARMACY LLC
NPI: 1902417207 · BROOKFIELD, WI 53005 ·
3336C0003X
$11K
Total Medicaid Paid
802
Total Claims
755
Beneficiaries
11
Codes Billed
2021-03
First Month
2022-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
625
$8K
2022
177
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0004A
102
101
$3K
90674
69
69
$2K
0064A
71
71
$2K
0071A
47
45
$1K
0072A
37
36
$1K
0011A
43
41
$580.42
0001A
16
16
$381.60
0012A
21
20
$371.83
91300
155
152
$0.00
91307
96
86
$0.00
91301
145
118
$0.00