Mountain Lake Pharmacy LLC
Mountain Lake Pharmacy LLC was paid $931.91 by Medicaid between Jan 2021 and Oct 2023, across 5 billing codes. Its largest line is B4150, Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 79% of everything it billed.
MOUNTAIN LAKE, MN 56159
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 48 | $732.41 | |
| 2022 | 52 | $94.90 | |
| 2023 | 40 | $104.60 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 79% | 21 | 13 | $732.41 |
| 90674 | 15% | 44 | 44 | $141.84 | |
| G0008 | Administration of influenza virus vaccine | 6.2% | 48 | 48 | $57.66 |
| 0013A | 0% | 15 | 15 | $0.00 | |
| 0011A | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nudak Ventures, LLC | Waterloo, IA | $331K |
| Nudak Ventures LLC | Nevada, IA | $14K |
| PM Acquisition, LLC | Iowa City, IA | $8K |
| 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 |
| Nudak Ventures, LLC | Story City, IA | $672.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.