Supplier
Banner Pharmacy Services LLC
Banner Pharmacy Services LLC was paid $2K by Medicaid between Mar 2020 and Apr 2022, across 5 billing codes.
Its largest line is J7517 , Mycophenolate mofetil, oral, 250 mg — 45% of everything it billed.
33 Billing provider infoBANNER PHARMACY SERVICES LLC
33a NPI1154384899 assigned 04/11/2006
28 Total paid$2K
24G Claims310
24D Codes billed5
24A First – last monthMar 2020 – Apr 2022
Compared with peers
Next to other Pharmacy providers in Arizona
Rank by total paid #3 of 7
Median peer was paid $2K
This provider vs. median 1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $250 $500 $750 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2020 17 $43.20 2021 167 $1K 2022 126 $1K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
J7517 Mycophenolate mofetil, oral, 250 mg
45% 73
63
$1K
J7507 Tacrolimus, immediate release, oral, 1 mg
42% 101
88
$959.53
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
12% 102
92
$288.16
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
<1% 17
13
$19.20
J7512 Prednisone, immediate release or delayed release, oral, 1 mg
<1% 17
13
$3.36
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
Same official Other billing entities under LARAWAY, DENNIS Full network →
Provider Location Paid
The Cleveland Clinic Foundation Cleveland, OH $863.55M Akron General Medical Center Akron, OH $98.99M Cleveland Clinic Mercy Hospital Canton, OH $86.97M Memorial Hermann Health System Houston, TX $84.45M Fairview Hospital Cleveland, OH $62.42M Lutheran Hospital Cleveland, OH $41.49M Cleveland Clinic Health System - East Region Euclid, OH $40.67M Memorial Hermann Health System Houston, TX $39.46M Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH $36.43M Cleveland Clinic Health System - East Region Mayfield Hts, OH $32.76M Cleveland Clinic Health System - East Region Warrensville Heights, OH $31.44M Partners Physician Group Akron, OH $28.37M Marymount Hospital INC Garfield Heights, OH $28.02M Memorial Hermann Health System Humble, TX $26.79M Martin Memorial Medical Center INC Stuart, FL $26.03M The Union Hospital Association Dover, OH $20.23M Lodi Community Hospital Lodi, OH $17.53M Clinic Medical Services Company LLC Cleveland, OH $10.82M Cleveland Clinic Home Care Services Independence, OH $10.76M Indian River Memorial Hospital INC Vero Beach, FL $9.27M
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.