Supplier
Gripka Pharmacy LLC
Gripka Pharmacy LLC was paid $0.00 by Medicaid between Jul 2024 and Oct 2024, across 7 billing codes. Its largest line is G0008, Administration of influenza virus vaccine — 0% of everything it billed.
33Billing provider infoGRIPKA PHARMACY LLC
BASEHOR, KS 66007
BASEHOR, KS 66007
33aNPI1073764973assigned 10/09/2008
33bProvider typeCompounding Pharmacy
28Total paid$0.00
24GClaims471
24DCodes billed7
24AFirst – last monthJul 2024 – Oct 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 | |
|---|---|---|---|
| 2024incomplete | 471 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 0% | 82 | 82 | $0.00 |
| 90480 | 0% | 65 | 65 | $0.00 | |
| 90677 | 0% | 68 | 68 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 68 | 68 | $0.00 |
| 91320 | 0% | 71 | 71 | $0.00 | |
| 91322 | 0% | 44 | 43 | $0.00 | |
| 90653 | 0% | 73 | 73 | $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 officialGRIPKA, HOLLY (PHARMD/OWNER)