Supplier
Medipharm Pharmacy LLC
Medipharm Pharmacy LLC was paid $19K by Medicaid between May 2024 and Nov 2024, across 2 billing codes. Its largest line is T1502, Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit — 100% of everything it billed.
33Billing provider infoMEDIPHARM PHARMACY LLC
HILO, HI 96720
HILO, HI 96720
33aNPI1013305457assigned 01/08/2015
33bProvider typePharmacy
28Total paid$19K
24GClaims260
24DCodes billed2
24AFirst – last monthMay 2024 – Nov 2024
Compared with peers
Next to other Pharmacy providers in Hawaii
Rank by total paid#7 of 28
Median peer was paid$2K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2024incomplete | 260 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 100% | 244 | 127 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 16 | 16 | $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 officialDAHLEM, SCOTT (OFFICE MANAGER)