Medicaid Provider Spending

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

SCOTT PHARMACY INC

NPI: 1669587473 · FAYETTE, IA 52142 · Pharmacist · NPI assigned 08/20/2006

$33K
Total Medicaid Paid
1,758
Total Claims
1,570
Beneficiaries
15
Codes Billed
2019-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSCOTT, JEFFREY (OWNER/PHARMACIST)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: SCOTT, JEFFREY

ProviderCityStateTotal Paid
PA CAPT SCOTT PLLC CIBOLO TX $99K
WYO CLINIC LLC GREYBULL WY $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 373 $7K
2020 313 $5K
2021 524 $7K
2022 242 $5K
2023 248 $7K
2024 58 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,308 1,145 $27K
91322 15 15 $2K
0002A 35 35 $1K
0001A 45 45 $1K
A4215 Needle, sterile, any size, each 34 27 $551.20
90480 15 15 $407.25
90674 19 19 $300.21
0011A 12 12 $240.00
0124A 13 13 $237.05
A4259 Lancets, per box of 100 78 71 $203.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $125.21
0031A 18 18 $40.00
91300 117 106 $0.00
91301 15 15 $0.00
91303 18 18 $0.00