Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › CARLISLE › GRX HOLDINGS LLC

GRX HOLDINGS LLC

NPI: 1912956020 · CARLISLE, IA 50047 · 332B00000X

$10K
Total Medicaid Paid
363
Total Claims
349
Beneficiaries
13
Codes Billed
2021-03
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 279 $8K
2022 35 $323.07
2023 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 48 48 $2K
91322 16 13 $1K
0001A 36 36 $1K
0011A 41 41 $1K
0064A 19 18 $600.00
0071A 15 15 $600.00
90694 15 15 $597.87
0072A 14 14 $560.00
90688 32 30 $542.13
0002A 14 14 $520.00
90471 85 80 $448.93
90480 16 13 $280.00
90685 12 12 $227.04