Supplier
Medicine Man Bonners Ferry Pharmacy LLC
Medicine Man Bonners Ferry Pharmacy LLC was paid $2K by Medicaid between Oct 2018 and Dec 2022, across 3 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.
33Billing provider infoMEDICINE MAN BONNERS FERRY PHARMACY LLC
BONNERS FERRY, ID 83805
BONNERS FERRY, ID 83805
33aNPI1578826178assigned 06/19/2012
33bProvider typeCompounding Pharmacy
28Total paid$2K
24GClaims185
24DCodes billed3
24AFirst – last monthOct 2018 – Dec 2022
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 | 37 | $0.00 | |
| 2019 | 12 | $145.91 | |
| 2020 | 18 | $217.99 | |
| 2021 | 90 | $981.21 | |
| 2022 | 28 | $236.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 100% | 148 | 90 | $2K |
| 90686 | 0% | 18 | 18 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | 19 | $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 officialSTUERMER, AIMEE (CO-OWNER)