Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › WEBSTER › YELLOW RIVER PHARMACY INC

YELLOW RIVER PHARMACY INC

NPI: 1982649760 · WEBSTER, WI 54893 · Pharmacy · NPI assigned 06/17/2006

$2K
Total Medicaid Paid
55
Total Claims
38
Beneficiaries
3
Codes Billed
2021-04
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPAFFEL, ERICA (PRESIDENT)
NPI Enumeration Date06/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 25 $381.60
2022 30 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90750 30 13 $2K
0001A 12 12 $381.60
91300 13 13 $0.00