GUARDIAN PHARMACY OF MADISON, LLC
NPI: 1043707987
· MADISON, WI 53713
· 3336L0003X
$651K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
131 |
$2K |
| 2019 |
1,034 |
$17K |
| 2020 |
501 |
$9K |
| 2021 |
801 |
$13K |
| 2022 |
563 |
$9K |
| 2023 |
462 |
$9K |
| 2024 |
19,022 |
$591K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Misc/exper non-prescript dru |
18,664 |
3,856 |
$585K |
| H0034 |
Med trng & support per 15min |
3,363 |
3,028 |
$58K |
| 0012A |
|
49 |
49 |
$2K |
| 91322 |
|
12 |
12 |
$2K |
| 0064A |
|
46 |
46 |
$1K |
| 0011A |
|
46 |
44 |
$1K |
| 0124A |
|
26 |
26 |
$915.84 |
| 0013A |
|
24 |
23 |
$858.72 |
| 90686 |
|
53 |
53 |
$397.80 |
| 0001A |
|
12 |
12 |
$203.28 |
| 91300 |
|
53 |
45 |
$0.00 |
| 91312 |
|
26 |
26 |
$0.00 |
| 91306 |
|
46 |
46 |
$0.00 |
| 91301 |
|
94 |
88 |
$0.00 |