Medicaid Provider Spending

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

POLARIS PHARMACY SERVICES OF MINNESOTA, LLC

NPI: 1942702394 · ST. LOUIS PARK, MN 55416 · Long Term Care Pharmacy · NPI assigned 03/01/2018

$7K
Total Medicaid Paid
1,223
Total Claims
1,185
Beneficiaries
8
Codes Billed
2020-12
First Month
2023-10
Last Month

Provider Details

Authorized OfficialROMBRO, DAVID (CEO)
NPI Enumeration Date03/01/2018

Related Entities

Other providers sharing the same authorized official: ROMBRO, DAVID

ProviderCityStateTotal Paid
POLARIS PHARMACY SERVICES OF NORTH CAROLINA LLC CHARLOTTE NC $0.00
POLARIS PHARMACY SERVICES OF TENNESSEE LLC NASHVILLE TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 36 $0.00
2021 790 $3K
2022 327 $4K
2023 70 $398.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 737 723 $3K
0011A 216 203 $1K
0134A 98 93 $1K
0124A 62 61 $1K
0012A 59 59 $520.13
0013A 16 12 $40.01
91320 17 17 $0.00
91322 18 17 $0.00