Supplier
Montross Pharmacy INC
Montross Pharmacy INC was paid $6K by Medicaid between Mar 2021 and Mar 2023, across 7 billing codes. Its largest line is 0012A, — 41% of everything it billed.
33Billing provider infoMONTROSS PHARMACY INC
WINTERSET, IA 50273
WINTERSET, IA 50273
33aNPI1952490500assigned 10/12/2006
33bProvider typePharmacy
28Total paid$6K
24GClaims535
24DCodes billed7
24AFirst – last monthMar 2021 – Mar 2023
Compared with peers
Next to other Pharmacy providers in Iowa
Rank by total paid#13 of 47
Median peer was paid$2K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2021 | 479 | $6K | |
| 2022 | 44 | $69.12 | |
| 2023 | 12 | $65.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 41% | 97 | 97 | $2K | |
| 0011A | 40% | 109 | 108 | $2K | |
| 0013A | 16% | 39 | 38 | $920.00 | |
| 90687 | 1.2% | 13 | 13 | $69.12 | |
| E0570 | Nebulizer, with compressor | 1.1% | 12 | 12 | $65.10 |
| 91301 | 0% | 250 | 245 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | 15 | $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 officialOLSON, JEFFREY (PRESIDENT)
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| Lakes Dental Care PLC | Pequot Lakes, MN | $429.96 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.