Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WINTERSET › MONTROSS PHARMACY INC

MONTROSS PHARMACY INC

NPI: 1952490500 · WINTERSET, IA 50273 · Pharmacy · NPI assigned 10/12/2006

$6K
Total Medicaid Paid
535
Total Claims
528
Beneficiaries
7
Codes Billed
2021-03
First Month
2023-03
Last Month

Provider Details

Authorized OfficialOLSON, JEFFREY (PRESIDENT)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: OLSON, JEFFREY

ProviderCityStateTotal Paid
FAMILY DENTAL CARE RAPID CITY SD $174K
LAKES DENTAL CARE PLC BAXTER MN $30K
LAKES DENTAL CARE PLC PEQUOT LAKES MN $429.96

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 479 $6K
2022 44 $69.12
2023 12 $65.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 97 97 $2K
0011A 109 108 $2K
0013A 39 38 $920.00
90687 13 13 $69.12
E0570 Nebulizer, with compressor 12 12 $65.10
91301 250 245 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00