Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › URBANDALE › PCA IOWA RX, LLC

PCA IOWA RX, LLC

NPI: 1104385806 · URBANDALE, IA 50322 · 333600000X

$363.96
Total Medicaid Paid
38
Total Claims
38
Beneficiaries
3
Codes Billed
2024-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 38 $363.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 13 13 $351.75
90480 13 13 $12.21
G0008 Admin influenza virus vac 12 12 $0.00