Supplier
Guardian Pharmacy of Minnesota LLC
Guardian Pharmacy of Minnesota LLC was paid $42K by Medicaid between Sep 2018 and Oct 2024, across 14 billing codes. Its largest line is 99607, — 50% of everything it billed.
33Billing provider infoGUARDIAN PHARMACY OF MINNESOTA LLC
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
33aNPI1568732709assigned 01/05/2012
33bProvider typePharmacy
28Total paid$42K
24GClaims2,725
24DCodes billed14
24AFirst – last monthSep 2018 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Minnesota
Rank by total paid#9 of 29
Median peer was paid$2K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2018 | 196 | $0.00 | |
| 2019 | 338 | $4K | |
| 2020 | 414 | $10K | |
| 2021 | 493 | $8K | |
| 2022 | 430 | $3K | |
| 2023 | 777 | $11K | |
| 2024incomplete | 77 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99607 | 50% | 460 | 381 | $21K | |
| 99605 | 47% | 430 | 400 | $19K | |
| 90686 | 1.6% | 420 | 411 | $660.47 | |
| 91322 | 1.1% | 126 | 119 | $444.75 | |
| 90662 | <1% | 178 | 174 | $149.14 | |
| 90480 | <1% | 126 | 119 | $122.07 | |
| G0008 | Administration of influenza virus vaccine | <1% | 703 | 694 | $113.98 |
| 90694 | 0% | 53 | 53 | $0.00 | |
| 90688 | 0% | 34 | 34 | $0.00 | |
| 0011A | 0% | 51 | 51 | $0.00 | |
| 0012A | 0% | 49 | 49 | $0.00 | |
| 0134A | 0% | 24 | 24 | $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 officialBOE, MARK (PRESIDENT)