Supplier
Sergeant Bluff Pharmacy INC
Sergeant Bluff Pharmacy INC was paid $1K by Medicaid between Apr 2021 and May 2021, across 3 billing codes. Its largest line is 0011A, — 57% of everything it billed.
33Billing provider infoSERGEANT BLUFF PHARMACY INC
SERGEANT BLUFF, IA 51054
SERGEANT BLUFF, IA 51054
33aNPI1275602518assigned 11/08/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1K
24GClaims66
24DCodes billed3
24AFirst – last monthApr 2021 – May 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Iowa
Rank by total paid#309 of 344
Median peer was paid$29K
This provider vs. median0.0×
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 | 66 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 57% | 16 | 16 | $640.00 | |
| 0012A | 43% | 12 | 12 | $480.00 | |
| 91301 | 0% | 38 | 34 | $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 officialJACKSON, STACEY (OWNER)