Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NUDAK VENTURES LLC

NPI: 1174682561 · WEST UNION, IA 52175 · Pharmacy · NPI assigned 12/08/2006

$3K
Total Medicaid Paid
141
Total Claims
141
Beneficiaries
7
Codes Billed
2021-03
First Month
2022-10
Last Month

Provider Details

Authorized OfficialWILLIS, LORI (ACQUISITIONS MANAGER)
NPI Enumeration Date12/08/2006

Related Entities

Other providers sharing the same authorized official: WILLIS, LORI

ProviderCityStateTotal Paid
NUDAK VENTURES, LLC WATERLOO IA $331K
NUDAK VENTURES LLC NEVADA IA $14K
PM ACQUISITION, LLC IOWA CITY IA $8K
NUDAK VENTURES LLC FAIRFIELD IA $6K
GREENFIELD PHARMACY LLC GREENFIELD IA $4K
NUDAK VENTURES LLC AMES IA $2K
NUDAK VENTURES LLC ACKLEY IA $1K
MOUNTAIN LAKE PHARMACY LLC MOUNTAIN LAKE MN $931.91
NUDAK VENTURES, LLC STORY CITY IA $672.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 95 $2K
2022 46 $664.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 32 32 $696.90
0124A 23 23 $664.00
0012A 20 20 $650.34
0003A 15 15 $600.00
0064A 12 12 $160.00
91300 16 16 $0.00
91312 23 23 $0.00