FORBES PHARMACY CORP

NPI: 1316002744 · URBANDALE, IA 50322 · Long Term Care Pharmacy · NPI assigned 12/26/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official FULLER, MICHAEL controls 20+ related entities in our dataset. Read more

$6K

Total Medicaid Paid

773

Total Claims

744

Beneficiaries

Codes Billed

2021-03

First Month

2022-12

Last Month

Provider Details

Authorized Official	FULLER, MICHAEL (PRESIDENT)
NPI Enumeration Date	12/26/2006

Other providers sharing the same authorized official: FULLER, MICHAEL

Provider	City	State	Total 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
GRX HOLDINGS, LLC	NEWTON	IA	$5K
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

Year	Claims	Total Paid
2021	559	$3K
2022	214	$3K

Code	Description	Claims	Beneficiaries	Total Paid
0051A		49	49	$2K
0001A		128	128	$2K
0071A		67	64	$1K
90688		27	27	$302.85
90686		14	14	$140.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	60	60	$137.43
0002A		58	58	$120.00
91307		101	94	$50.00
91305		52	52	$0.00
91301		12	12	$0.00
91300		205	186	$0.00