Supplier
Summit Pharmacy of Iowa, INC
Summit Pharmacy of Iowa, INC was paid $2K by Medicaid between Mar 2021 and Oct 2022, across 3 billing codes. Its largest line is 0011A, — 64% of everything it billed.
33Billing provider infoSUMMIT PHARMACY OF IOWA, INC
FAIRFIELD, IA 52556
FAIRFIELD, IA 52556
33aNPI1154941870assigned 04/22/2020
33bProvider typeCommunity/Retail Pharmacy
28Total paid$2K
24GClaims120
24DCodes billed3
24AFirst – last monthMar 2021 – Oct 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Iowa
Rank by total paid#51 of 73
Median peer was paid$9K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 79 | $2K | |
| 2022 | 41 | $55.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 64% | 52 | 46 | $1K | |
| 0012A | 33% | 27 | 25 | $761.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 41 | 32 | $55.99 |
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 officialVANDER LINDEN, BRYAN (OWNER)