GRX HOLDINGS LLC

NPI: 1093764086 · INDIANOLA, IA 50125 · Long Term Care Pharmacy · NPI assigned 05/08/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official FULLER, MICHAEL controls 20+ related entities in our dataset. Read more

$11K

Total Medicaid Paid

469

Total Claims

440

Beneficiaries

Codes Billed

2021-03

First Month

2022-10

Last Month

Provider Details

Authorized Official	FULLER, MICHAEL (PRESIDENT)
NPI Enumeration Date	05/08/2006

Other providers sharing the same authorized official: FULLER, MICHAEL

Provider	City	State	Total Paid
NEXT STEPS BEHAVIORAL HEALTH	CINCINNATI	OH	$293K
GRX HOLDINGS LLC	DES MOINES	IA	$24K
GRX HOLDINGS LLC	KNOXVILLE	IA	$15K
GRX HOLDINGS LLC	DES MOINES	IA	$11K
GRX HOLDINGS LLC	CARLISLE	IA	$10K
GRX HOLDINGS, LLC	DES MOINES	IA	$8K
GRX HOLDINGS, LLC	ANKENY	IA	$7K
GRX HOLDINGS LLC	NORWALK	IA	$7K
FORBES PHARMACY CORP	URBANDALE	IA	$6K
GRX HOLDINGS, LLC	NEWTON	IA	$5K
GRX HOLDINGS LLC	AMES	IA	$4K
GRX HOLDINGS LLC	WINTERSET	IA	$3K
BERTS DRUG INC	HASTINGS	NE	$3K
GRX HOLDINGS, LLC	PANORA	IA	$3K
GRX HOLDINGS LLC	GRIMES	IA	$3K
GRX HOLDINGS, LLC	BOONE	IA	$1K
GRX HOLDINGS LLC	ALTOONA	IA	$1K
GRX HOLDINGS LLC	WAUKEE	IA	$923.29
GRX HOLDINGS, LLC	STUART	IA	$760.00
GRX HOLDINGS, LLC	AUDUBON	IA	$621.36

Year	Claims	Total Paid
2021	400	$10K
2022	69	$903.50

Code	Description	Claims	Beneficiaries	Total Paid
0012A		116	114	$4K
0011A		119	119	$4K
0064A		25	24	$960.00
0004A		27	21	$800.00
90688		43	34	$631.92
0124A		12	12	$440.00
90685		25	25	$332.24
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	61	51	$183.24
G0008	Administration of influenza virus vaccine	16	16	$60.00
91306		25	24	$8.00