Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAQUOKETA PHARMACY INC

NPI: 1861155699 · MAQUOKETA, IA 52060 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/19/2021

$6K
Total Medicaid Paid
305
Total Claims
285
Beneficiaries
10
Codes Billed
2022-07
First Month
2024-01
Last Month

Provider Details

Authorized OfficialGREENWOOD, ROBERT (PRESIDENT/PHARMACIST)
NPI Enumeration Date10/19/2021

Related Entities

Other providers sharing the same authorized official: GREENWOOD, ROBERT

ProviderCityStateTotal Paid
RJGRX INC DENVER IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 150 $2K
2023 142 $4K
2024 13 $8.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 21 18 $2K
E0570 Nebulizer, with compressor 54 51 $2K
G0310 Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) 23 23 $336.03
90480 21 18 $332.00
0124A 15 15 $320.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 62 55 $204.85
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 68 64 $64.74
90688 13 13 $33.65
A7015 Aerosol mask, used with dme nebulizer 13 13 $9.36
91312 15 15 $0.00