WHITE DRUG CO OF JAMESTOWN INC
NPI: 1730369711
· FARGO, ND 58104
· 291U00000X
$209K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
815 |
$14K |
| 2019 |
1,044 |
$24K |
| 2020 |
933 |
$31K |
| 2021 |
929 |
$35K |
| 2022 |
927 |
$33K |
| 2023 |
773 |
$34K |
| 2024 |
858 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
3,698 |
2,930 |
$186K |
| A4554 |
Disposable underpads |
749 |
598 |
$14K |
| A4253 |
Blood glucose/reagent strips |
638 |
570 |
$2K |
| 90682 |
|
75 |
60 |
$1K |
| 99607 |
|
17 |
16 |
$1K |
| 91320 |
|
78 |
78 |
$1K |
| 99605 |
|
35 |
35 |
$1K |
| 99606 |
|
122 |
84 |
$578.00 |
| 90471 |
|
78 |
67 |
$441.42 |
| 90674 |
|
14 |
14 |
$336.66 |
| 90656 |
|
39 |
39 |
$223.50 |
| 90673 |
|
17 |
16 |
$221.89 |
| 0002A |
|
18 |
17 |
$178.20 |
| 90480 |
|
78 |
78 |
$140.56 |
| 0001A |
|
14 |
12 |
$129.60 |
| A4259 |
Lancets per box |
171 |
154 |
$53.58 |
| 0124A |
|
169 |
169 |
$0.00 |
| 90662 |
|
42 |
42 |
$0.00 |
| 91312 |
|
27 |
27 |
$0.00 |
| 91300 |
|
28 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
172 |
160 |
$0.00 |