Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GUARDIAN PHARMACY OF IOWA LLC

NPI: 1376055616 · ANKENY, IA 50021 · Compounding Pharmacy · NPI assigned 10/26/2017

$14K
Total Medicaid Paid
636
Total Claims
612
Beneficiaries
9
Codes Billed
2018-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialANDERSON, ROCKFORD (PRESIDENT)
NPI Enumeration Date10/26/2017

Related Entities

Other providers sharing the same authorized official: ANDERSON, ROCKFORD

ProviderCityStateTotal Paid
GUARDIAN PHARMACY OF IOWA LLC CEDAR RAPIDS IA $208.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $0.00
2022 30 $0.00
2023 218 $6K
2024 302 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91320 51 50 $6K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 163 150 $4K
90686 111 111 $962.50
90480 56 55 $775.42
90661 28 28 $654.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 95 95 $414.98
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 59 50 $398.70
90662 15 15 $0.00
G0008 Administration of influenza virus vaccine 58 58 $0.00