Medicaid Provider Spending

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

HOMETOWN PHARMACY INC.

NPI: 1982650420 · MISHAWAKA, IN 46545 · 332B00000X

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

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 Admin influenza virus vac 245 245 $0.00
0011A 13 13 $0.00
90686 141 141 $0.00
90694 20 20 $0.00
90653 21 21 $0.00