Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
IA
›
EVANSDALE
› BLACKHAWK PHARMACY
BLACKHAWK PHARMACY
NPI: 1023505542 · EVANSDALE, IA 50707 ·
Clinic/Center
· NPI assigned 04/19/2018
$3K
Total Medicaid Paid
87
Total Claims
86
Beneficiaries
3
Codes Billed
2021-03
First Month
2022-02
Last Month
Provider Details
Authorized Official
PILKINGTON, WESLEY
(OFFICER)
NPI Enumeration Date
04/19/2018
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
75
$2K
2022
12
$240.86
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0011A
42
41
$1K
0012A
33
33
$1K
A4253
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
12
12
$240.86