Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › PELLA › HY-VEE INC

HY-VEE INC

NPI: 1932135456 · PELLA, IA 50219 · 332B00000X

$6K
Total Medicaid Paid
495
Total Claims
486
Beneficiaries
11
Codes Billed
2018-09
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $0.00
2021 389 $6K
2022 28 $0.00
2023 43 $881.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 48 48 $2K
0001A 29 29 $1K
0012A 29 29 $1K
0011A 28 28 $918.58
90480 14 14 $560.00
0064A 14 14 $560.00
90686 43 43 $345.95
90471 28 27 $117.07
G0008 Admin influenza virus vac 19 19 $0.00
91301 80 79 $0.00
91300 163 156 $0.00