Medicaid Provider Spending

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

OWEN-WITHEE PHARMACY INC

NPI: 1932510427 · WITHEE, WI 54498 · Pharmacy · NPI assigned 05/19/2014

$5K
Total Medicaid Paid
330
Total Claims
292
Beneficiaries
3
Codes Billed
2022-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWILES, PAIGE (ADMIN ASSISTANT)
NPI Enumeration Date05/19/2014

Related Entities

Other providers sharing the same authorized official: WILES, PAIGE

ProviderCityStateTotal Paid
SHELL LAKE PHARMACY LTD SHELL LAKE WI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 18 $186.92
2024 312 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9430 Pharmacy compounding and dispensing services 127 95 $2K
A9150 Non-prescription drugs 185 184 $2K
90688 18 13 $186.92