Supplier
Medical Clinic Pharmacy INC
Medical Clinic Pharmacy INC was paid $9K by Medicaid between Feb 2018 and Apr 2024, across 4 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 77% of everything it billed.
33Billing provider infoMEDICAL CLINIC PHARMACY INC
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1962581652assigned 11/03/2006
33bProvider typeCompounding Pharmacy
28Total paid$9K
24GClaims538
24DCodes billed4
24AFirst – last monthFeb 2018 – Apr 2024
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 | |
|---|---|---|---|
| 2018 | 72 | $2K | |
| 2019 | 15 | $249.60 | |
| 2020 | 129 | $2K | |
| 2021 | 112 | $2K | |
| 2022 | 130 | $3K | |
| 2023 | 53 | $621.67 | |
| 2024incomplete | 27 | $299.60 |
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 | 77% | 470 | 430 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.7% | 16 | 14 | $887.84 |
| G0008 | Administration of influenza virus vaccine | 6.8% | 36 | 36 | $624.96 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.5% | 16 | 14 | $595.84 |
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 officialHIGGINS, TYLER (PRESIDENT)