Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › CHARLES CITY › MAIN STREET DRUG

MAIN STREET DRUG

NPI: 1750920088 · CHARLES CITY, IA 50616 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/03/2020

$10K
Total Medicaid Paid
526
Total Claims
428
Beneficiaries
10
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialUETZ, CYNTHIA (PRESIDENT)
NPI Enumeration Date01/03/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 254 $6K
2022 42 $400.00
2023 196 $3K
2024 34 $209.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 20 15 $2K
0012A 68 62 $2K
E0570 Nebulizer, with compressor 191 150 $1K
0011A 70 57 $1K
0072A 35 26 $1K
0071A 24 19 $760.00
0064A 36 22 $720.00
0013A 21 20 $640.00
90480 19 15 $528.00
0124A 42 42 $400.00