Goodrich Pharmacy INC

Goodrich Pharmacy INC was paid $5K by Medicaid between Oct 2018 and Nov 2024, across 12 billing codes. Its largest line is 99401, — 60% of everything it billed.

33Billing provider infoGOODRICH PHARMACY INC
ANOKA, MN 55303

33aNPI1346244274assigned 06/09/2005

33bProvider typePharmacy

28Total paid$5K

24GClaims548

24DCodes billed12

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Pharmacy providers in Minnesota

Rank by total paid#13 of 29

Median peer was paid$2K

This provider vs. median2.3×

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
2018	34	$0.00
2019	14	$0.00
2020	48	$0.00
2021	72	$0.00
2022	68	$0.00
2023	255	$4K
2024incomplete	57	$927.85

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99401		60%	145	145	$3K
99605		30%	28	28	$2K
91322		5.5%	19	19	$282.90
M0201	Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home	3.4%	27	27	$176.05
90480		<1%	22	22	$44.19
G0008	Administration of influenza virus vaccine	<1%	150	149	$31.72
0013A		0%	24	24	$0.00
90662		0%	37	37	$0.00
0002A		0%	12	12	$0.00
90756		0%	32	32	$0.00
0124A		0%	20	19	$0.00
90686		0%	32	32	$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 officialSIMENSON, STEVEN (PRESIDENT)