Supplier
Colorado Pharmacy and Supply INC
Colorado Pharmacy and Supply INC was paid $4K by Medicaid between Jan 2018 and Oct 2023, across 2 billing codes. Its largest line is T4541, Incontinence product, disposable underpad, large, each — 100% of everything it billed.
33Billing provider infoCOLORADO PHARMACY AND SUPPLY INC
LOS ANGELES, CA 90041
LOS ANGELES, CA 90041
33aNPI1033190376assigned 11/11/2005
33bProvider typePharmacy
28Total paid$4K
24GClaims81
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pharmacy providers in California
Rank by total paid#74 of 179
Median peer was paid$2K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2018 | 24 | $2K | |
| 2019 | 12 | $704.95 | |
| 2020 | 27 | $2K | |
| 2023 | 18 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 100% | 63 | 63 | $4K |
| 90480 | 0% | 18 | 17 | $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 officialSIMONYAN, ASYA (OWNER)