Medicaid Provider Spending

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

LIFE CHANGE RX 1 LLC

NPI: 1952965576 · MILWAUKEE, WI 53216 · Community/Retail Pharmacy · NPI assigned 04/29/2019

$41K
Total Medicaid Paid
928
Total Claims
829
Beneficiaries
2
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALI, ALI (C-OWNER)
NPI Enumeration Date04/29/2019

Related Entities

Other providers sharing the same authorized official: ALI, ALI

ProviderCityStateTotal Paid
HOOVER INTERNAL MEDICINE PLLC HAMTRAMCK MI $752K
ANA GROUPS LLC DEARBORN MI $124K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $2K
2023 557 $24K
2024 345 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 366 333 $22K
99606 562 496 $19K