Supplier
PCA Iowa RX, LLC
PCA Iowa RX, LLC was paid $363.96 by Medicaid between Oct 2024 and Oct 2024, across 3 billing codes. Its largest line is 91322, — 97% of everything it billed.
33Billing provider infoPCA IOWA RX, LLC
URBANDALE, IA 50322
URBANDALE, IA 50322
33aNPI1104385806assigned 03/13/2019
33bProvider typePharmacy
28Total paid$363.96
24GClaims38
24DCodes billed3
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Iowa
Rank by total paid#39 of 47
Median peer was paid$2K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 38 | $363.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 97% | 13 | 13 | $351.75 | |
| 90480 | 3.4% | 13 | 13 | $12.21 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPIETROWSKI, CRISTINA (EVP, CHIEF LEGAL OFFICER & SECRETAR)
| Provider | Location | Paid |
|---|---|---|
| Trilogy Healthcare of North Baltimore LLC | North Baltimore, OH | $20K |
| Pca-Corrections LLC | Indianapolis, IN | $6K |
| Pca-Corrections LLC | Louisville, KY | $5K |
| Arlington Dialysis, LLC | Indianapolis, IN | $2K |
| Pca-Corrections LLC | Hilliard, OH | $445.21 |
| Trilogy Healthcare of Hancock, LLC | Findlay, OH | $0.00 |
| Paragon Outpatient Rehabilitation Services, LLC | Louisville, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.