THRIFTY DRUG STORES INC
NPI: 1235228834
· GRAND RAPIDS, MN 55744
· 291U00000X
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$771.19 |
| 2019 |
82 |
$4K |
| 2020 |
229 |
$11K |
| 2021 |
316 |
$2K |
| 2022 |
413 |
$21K |
| 2023 |
754 |
$45K |
| 2024 |
204 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/pad |
406 |
371 |
$39K |
| T4541 |
Large disposable underpad |
519 |
510 |
$24K |
| T4527 |
Adult size pull-on lg |
148 |
139 |
$21K |
| T4526 |
Adult size pull-on med |
65 |
64 |
$8K |
| B4150 |
Ef complet w/intact nutrient |
30 |
24 |
$2K |
| T4528 |
Adult size pull-on xl |
12 |
12 |
$2K |
| 99605 |
|
30 |
30 |
$1K |
| A4927 |
Non-sterile gloves |
26 |
24 |
$737.99 |
| 99606 |
|
22 |
15 |
$691.02 |
| A4253 |
Blood glucose/reagent strips |
149 |
136 |
$523.57 |
| 90471 |
|
16 |
14 |
$164.64 |
| 91322 |
|
25 |
25 |
$136.98 |
| 90686 |
|
91 |
91 |
$120.68 |
| 0011A |
|
61 |
61 |
$52.28 |
| 90480 |
|
25 |
25 |
$41.34 |
| 0124A |
|
53 |
49 |
$40.50 |
| G0008 |
Admin influenza virus vac |
198 |
198 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 0012A |
|
54 |
54 |
$0.00 |
| 91301 |
|
33 |
33 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 0013A |
|
62 |
62 |
$0.00 |
| 90682 |
|
15 |
15 |
$0.00 |