Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MISHAWAKA
› HOMETOWN PHARMACY INC.
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
Year
Claims
Total Paid
2018
288
$0.00
2020
216
$0.00
2021
13
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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