Medicaid Provider Spending

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

NPI: 1982650420 · MISHAWAKA, IN 46545 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/26/2006

$0.00
Total Medicaid Paid
517
Total Claims
517
Beneficiaries
6
Codes Billed
2018-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialDESARMO, REBEKAH (EXECUTIVE OPERATIONS ADMINISTRATOR)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: DESARMO, REBEKAH

ProviderCityStateTotal Paid
HOMETOWN PHARMACY INC TRAVERSE CITY MI $796K
HOMETOWN PHARMACY INC NEW ERA MI $429K
HOMETOWN HAPPIER AT HOME LLC NEW ERA MI $152K
FRANKLIN PHARMACY INC ROCKFORD MI $50K
FRANKLIN PHARMACY INC PARCHMENT MI $745.00
FRANKLIN PHARMACY INC PANDORA OH $314.48
HOMETOWN PHARMACY INC WARSAW IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 288 $0.00
2020 216 $0.00
2021 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90688 77 77 $0.00
G0008 Administration of influenza virus vaccine 245 245 $0.00
0011A 13 13 $0.00
90686 141 141 $0.00
90694 20 20 $0.00
90653 21 21 $0.00