Medicaid Provider Spending

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

PHALEN FAMILY PHARMACY LTD

NPI: 1972892438 · SAINT PAUL, MN 55106 · Community/Retail Pharmacy · NPI assigned 04/05/2011

$3K
Total Medicaid Paid
501
Total Claims
493
Beneficiaries
12
Codes Billed
2018-10
First Month
2023-09
Last Month

Provider Details

Authorized OfficialLO, MAY (PHARMACIST/ OWNER)
NPI Enumeration Date04/05/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30 $404.99
2019 26 $375.82
2020 32 $324.80
2021 173 $488.76
2022 157 $825.75
2023 83 $727.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 69 69 $1K
G0008 Administration of influenza virus vaccine 128 127 $630.44
90674 71 71 $473.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 26 $413.61
90656 27 24 $367.20
91300 58 58 $0.00
91312 22 21 $0.00
0124A 15 15 $0.00
0012A 28 28 $0.00
0011A 26 26 $0.00
91301 13 13 $0.00
90688 15 15 $0.00