Guardian Pharmacy of Grand Island, LLC

Guardian Pharmacy of Grand Island, LLC was paid $796.48 by Medicaid between Mar 2023 and Nov 2024, across 10 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 60% of everything it billed.

33Billing provider infoGUARDIAN PHARMACY OF GRAND ISLAND, LLC
GRAND ISLAND, NE 68803

33aNPI1386363877assigned 08/26/2022

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$796.48

24GClaims660

24DCodes billed10

24AFirst – last monthMar 2023 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Nebraska

Rank by total paid#76 of 89

Median peer was paid$129K

This provider vs. median0.0×

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
2023	296	$757.61
2024incomplete	364	$38.87

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	60%	37	26	$475.36
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	31%	16	12	$247.10
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	4.9%	28	24	$38.87
90694		3.5%	35	35	$27.72
90686		<1%	17	17	$7.43
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	0%	191	130	$0.00
90480		0%	62	62	$0.00
G0008	Administration of influenza virus vaccine	0%	67	67	$0.00
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	0%	145	116	$0.00
91322		0%	62	62	$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 officialLOBEDA, CODY (PRESIDENT/OWNER)

Same official

Other billing entities under LOBEDA, CODY

Full network →

Provider	Location	Paid
Bens Drug Store INC	Grand Island, NE	$48K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.