Supplier
Professional Pharmacy LLC
Professional Pharmacy LLC was paid $3K by Medicaid between Sep 2020 and Oct 2023, across 4 billing codes. Its largest line is 90674, — 43% of everything it billed.
33Billing provider infoPROFESSIONAL PHARMACY LLC
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1013152198assigned 12/03/2008
33bProvider typeCompounding Pharmacy
28Total paid$3K
24GClaims152
24DCodes billed4
24AFirst – last monthSep 2020 – Oct 2023
Compared with peers
Next to other Compounding Pharmacy providers in Colorado
Rank by total paid#5 of 9
Median peer was paid$3K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 32 | $651.64 | |
| 2021 | 58 | $1K | |
| 2023 | 62 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90674 | 43% | 57 | 51 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 40% | 71 | 54 | $1K |
| 0031A | 17% | 12 | 12 | $494.16 | |
| 91303 | <1% | 12 | 12 | $0.10 |
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 officialWATERHOUSE, KEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Dermatology Clinic, P.C. | Colorado Springs, CO | $168K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.