Supplier
Spartan Pharmacy INC
Spartan Pharmacy INC was paid $264.00 by Medicaid between Oct 2022 and Oct 2022, across 2 billing codes. Its largest line is 90756, — 50% of everything it billed.
33Billing provider infoSPARTAN PHARMACY INC
BETHEL PARK, PA 15102
BETHEL PARK, PA 15102
33aNPI1124116298assigned 10/11/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$264.00
24GClaims24
24DCodes billed2
24AFirst – last monthOct 2022 – Oct 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Pennsylvania
Rank by total paid#26 of 44
Median peer was paid$461.37
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 24 | $264.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90756 | 50% | 12 | 12 | $132.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 50% | 12 | 12 | $132.00 |
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 officialRICE, ADAM (OWNER)
Parent organizationSPARTAN PHARMACY INC
| Provider | Location | Paid |
|---|---|---|
| Olympus Infusions INC | Pittsburgh, PA | $97K |
| Spartan Pharmacy INC | Pittsburgh, PA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.