GUARDIAN PHARMACY OF IOWA LLC
NPI: 1376055616
· ANKENY, IA 50021
· 3336C0004X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
86 |
$0.00 |
| 2022 |
30 |
$0.00 |
| 2023 |
218 |
$6K |
| 2024 |
302 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
51 |
50 |
$6K |
| A4239 |
Non-adju cgm supply allow |
163 |
150 |
$4K |
| 90686 |
|
111 |
111 |
$962.50 |
| 90480 |
|
56 |
55 |
$775.42 |
| 90661 |
|
28 |
28 |
$654.94 |
| 90471 |
|
95 |
95 |
$414.98 |
| A4253 |
Blood glucose/reagent strips |
59 |
50 |
$398.70 |
| 90662 |
|
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
58 |
58 |
$0.00 |