Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › IOWA CITY › PM ACQUISITION, LLC

PM ACQUISITION, LLC

NPI: 1588900047 · IOWA CITY, IA 52240 · Pharmacy · NPI assigned 01/02/2013

$8K
Total Medicaid Paid
448
Total Claims
446
Beneficiaries
10
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIS, LORI (ACQUISITIONS MANAGER)
NPI Enumeration Date01/02/2013

Related Entities

Other providers sharing the same authorized official: WILLIS, LORI

ProviderCityStateTotal Paid
NUDAK VENTURES, LLC WATERLOO IA $331K
NUDAK VENTURES LLC NEVADA IA $14K
NUDAK VENTURES LLC FAIRFIELD IA $6K
GREENFIELD PHARMACY LLC GREENFIELD IA $4K
NUDAK VENTURES LLC WEST UNION IA $3K
NUDAK VENTURES LLC AMES IA $2K
NUDAK VENTURES LLC ACKLEY IA $1K
MOUNTAIN LAKE PHARMACY LLC MOUNTAIN LAKE MN $931.91
NUDAK VENTURES, LLC STORY CITY IA $672.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 137 $920.00
2022 189 $3K
2023 110 $4K
2024 12 $368.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0124A 69 69 $3K
91322 17 17 $2K
90674 66 66 $2K
0004A 50 50 $920.00
90480 18 18 $600.00
90661 12 12 $368.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 65 65 $117.07
91301 14 14 $0.00
91312 64 64 $0.00
91300 73 71 $0.00