Supplier
Black Forest Pharmacy Services LTD
Black Forest Pharmacy Services LTD was paid $3K by Medicaid between Oct 2020 and Dec 2023, across 4 billing codes. Its largest line is 99401, — 57% of everything it billed.
33Billing provider infoBLACK FOREST PHARMACY SERVICES LTD
BRAINERD, MN 56401
BRAINERD, MN 56401
33aNPI1407960875assigned 08/19/2006
33bProvider typePharmacy
28Total paid$3K
24GClaims223
24DCodes billed4
24AFirst – last monthOct 2020 – Dec 2023
Compared with peers
Next to other Pharmacy providers in Minnesota
Rank by total paid#14 of 29
Median peer was paid$2K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 15 | $0.00 | |
| 2021 | 15 | $0.00 | |
| 2023 | 193 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99401 | 57% | 85 | 82 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 43% | 108 | 101 | $1K |
| 0001A | 0% | 15 | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | 15 | $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 officialSCHWARTZWALD, MIKE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ci Pharmacy Services LTD | Crosby, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.