Supplier
GRX Holdings, LLC
GRX Holdings, LLC was paid $5K by Medicaid between Mar 2021 and Dec 2021, across 6 billing codes. Its largest line is 0012A, — 40% of everything it billed.
33Billing provider infoGRX HOLDINGS, LLC
NEWTON, IA 50208
NEWTON, IA 50208
33aNPI1154848273assigned 08/29/2017
33bProvider typeLong Term Care Pharmacy
28Total paid$5K
24GClaims172
24DCodes billed6
24AFirst – last monthMar 2021 – Dec 2021
Compared with peers
Next to other Long Term Care Pharmacy providers in Iowa
Rank by total paid#18 of 36
Median peer was paid$4K
This provider vs. median1.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FULLER, MICHAEL controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 172 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 40% | 57 | 57 | $2K | |
| 0011A | 36% | 63 | 63 | $2K | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 9.3% | 13 | 13 | $476.79 |
| 0064A | 8.6% | 13 | 13 | $440.00 | |
| 90688 | 5.3% | 13 | 13 | $273.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 13 | 13 | $66.17 |
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 officialFULLER, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Next Steps Behavioral Health | Cincinnati, OH | $293K |
| GRX Holdings LLC | Des Moines, IA | $24K |
| GRX Holdings LLC | Knoxville, IA | $15K |
| GRX Holdings LLC | Indianola, IA | $11K |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.