Supplier
Lagrange Pharmacy INC
Lagrange Pharmacy INC was paid $38K by Medicaid between Apr 2019 and Oct 2024, across 11 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 67% of everything it billed.
33Billing provider infoLAGRANGE PHARMACY INC
VINTON, IA 52349
VINTON, IA 52349
33aNPI1831271998assigned 10/19/2006
33bProvider typePharmacy
28Total paid$38K
24GClaims2,046
24DCodes billed11
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Iowa
Rank by total paid#4 of 47
Median peer was paid$2K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 158 | $3K | |
| 2020 | 467 | $8K | |
| 2021 | 605 | $13K | |
| 2022 | 389 | $7K | |
| 2023 | 384 | $6K | |
| 2024incomplete | 43 | $663.65 |
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 | 67% | 1,367 | 1,155 | $26K |
| A4215 | Needle, sterile, any size, each | 11% | 305 | 254 | $4K |
| 0012A | 7.2% | 81 | 78 | $3K | |
| 0011A | 5.9% | 87 | 82 | $2K | |
| 0013A | 4.2% | 46 | 44 | $2K | |
| 0134A | 1.4% | 13 | 13 | $520.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 1.4% | 42 | 22 | $519.36 |
| G0008 | Administration of influenza virus vaccine | <1% | 34 | 34 | $313.65 |
| 90686 | <1% | 28 | 28 | $312.90 | |
| A4259 | Lancets, per box of 100 | <1% | 31 | 29 | $166.00 |
| E0607 | Home blood glucose monitor | <1% | 12 | 12 | $162.18 |
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 officialLAGRANGE, DAN (PRESIDENT)