Vitalab Pharmacy INC

Vitalab Pharmacy INC was paid $40K by Medicaid between Feb 2018 and Apr 2024, across 3 billing codes. Its largest line is 96365, Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour — 93% of everything it billed.

33Billing provider infoVITALAB PHARMACY INC
PHOENIX, AZ 85032

33aNPI1073982120assigned 09/18/2015

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$40K

24GClaims878

24DCodes billed3

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Arizona

Rank by total paid#63 of 76

Median peer was paid$899K

This provider vs. median0.0×

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
2018	194	$5K
2019	73	$3K
2020	86	$4K
2021	311	$18K
2022	143	$5K
2024incomplete	71	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	93%	657	502	$37K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	6.5%	204	167	$3K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	1.0%	17	14	$410.49

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 officialVASILIAUSKAS, PAUL (SR.V.P. BUSINESS DEVELOPMENT)

Parent organizationALERACARE HOLDINGS LLC