Medicaid Provider Spending

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

IOLA PHARMACY INC

NPI: 1528172509 · IOLA, KS 66749 · Community/Retail Pharmacy · NPI assigned 08/18/2006

$3K
Total Medicaid Paid
342
Total Claims
287
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialDIEKER, JEFFREY (PARTNER/OWNER)
NPI Enumeration Date08/18/2006

Related Entities

Other providers sharing the same authorized official: DIEKER, JEFFREY

ProviderCityStateTotal Paid
IOLA PHARMACY INC. IOLA KS $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 257 $3K
2019 73 $194.98
2021 12 $5.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 316 261 $3K
90686 12 12 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00