Supplier
Guardian Pharmacy of Iowa LLC
Guardian Pharmacy of Iowa LLC was paid $14K by Medicaid between Sep 2018 and Oct 2024, across 9 billing codes. Its largest line is 91320, — 44% of everything it billed.
33Billing provider infoGUARDIAN PHARMACY OF IOWA LLC
ANKENY, IA 50021
ANKENY, IA 50021
33aNPI1376055616assigned 10/26/2017
33bProvider typeCompounding Pharmacy
28Total paid$14K
24GClaims636
24DCodes billed9
24AFirst – last monthSep 2018 – Oct 2024
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 | 86 | $0.00 | |
| 2022 | 30 | $0.00 | |
| 2023 | 218 | $6K | |
| 2024incomplete | 302 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91320 | 44% | 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 | 32% | 163 | 150 | $4K |
| 90686 | 7.1% | 111 | 111 | $962.50 | |
| 90480 | 5.7% | 56 | 55 | $775.42 | |
| 90661 | 4.8% | 28 | 28 | $654.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 95 | 95 | $414.98 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 2.9% | 59 | 50 | $398.70 |
| 90662 | 0% | 15 | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 58 | 58 | $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 officialANDERSON, ROCKFORD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Guardian Pharmacy of Iowa LLC | Cedar Rapids, IA | $208.12 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.