Medicaid Provider Spending

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

MIIVRX LLC

NPI: 1932272523 · MIDLAND, MI 48640 · Pharmacy · NPI assigned 11/15/2006

$89K
Total Medicaid Paid
731
Total Claims
264
Beneficiaries
1
Codes Billed
2020-06
First Month
2022-07
Last Month

Provider Details

Authorized OfficialROEDER, KEVIN (CEO)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 155 $24K
2021 277 $28K
2022 299 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 731 264 $89K