Supplier
South Side Drug INC
South Side Drug INC was paid $276.55 by Medicaid between Apr 2018 and Sep 2022, across 4 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.
33Billing provider infoSOUTH SIDE DRUG INC
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1801817879assigned 07/22/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$276.55
24GClaims375
24DCodes billed4
24AFirst – last monthApr 2018 – Sep 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Iowa
Rank by total paid#329 of 344
Median peer was paid$29K
This provider vs. median0.0×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 87 | $158.38 | |
| 2019 | 70 | $47.25 | |
| 2020 | 90 | $54.28 | |
| 2021 | 115 | $0.00 | |
| 2022 | 13 | $16.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 100% | 293 | 248 | $276.55 |
| 0012A | 0% | 13 | 12 | $0.00 | |
| 91301 | 0% | 42 | 31 | $0.00 | |
| 0011A | 0% | 27 | 16 | $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.
From NPPES
Who's on the registration
Authorized officialFRAHM, MARK (VICE PRESIDENT)