Eagle Grove Pharmacy INC

Eagle Grove Pharmacy INC was paid $5K by Medicaid between Apr 2019 and Sep 2023, across 13 billing codes. Its largest line is 0011A, — 22% of everything it billed.

33Billing provider infoEAGLE GROVE PHARMACY INC
EAGLE GROVE, IA 50533

33aNPI1316968373assigned 07/22/2006

33bProvider typePharmacy

28Total paid$5K

24GClaims492

24DCodes billed13

24AFirst – last monthApr 2019 – Sep 2023

Compared with peers

Next to other Pharmacy providers in Iowa

Rank by total paid#16 of 47

Median peer was paid$2K

This provider vs. median2.6×

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
2019	58	$370.12
2020	28	$303.06
2021	293	$3K
2022	100	$1K
2023	13	$15.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0011A		22%	30	30	$1K
90688		15%	37	37	$789.66
90674		13%	38	38	$689.57
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	13%	86	63	$673.18
0002A		12%	25	23	$600.00
0072A		10%	13	13	$520.00
0134A		6.9%	12	12	$357.05
0001A		4.4%	21	21	$226.34
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.0%	88	88	$152.70
91307		<1%	21	14	$16.00
91313		<1%	12	12	$9.00
91300		0%	40	40	$0.00

1 more codes

91301

$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 officialWAGNER, ANDREW (PHARMACIST IN CHARGE)