Supplier
Farmacia San Antonio LLC
Farmacia San Antonio LLC was paid $10K by Medicaid between Mar 2021 and May 2021, across 3 billing codes. Its largest line is 0012A, — 56% of everything it billed.
33Billing provider infoFARMACIA SAN ANTONIO LLC
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1164508503assigned 10/27/2006
33bProvider typePharmacy
28Total paid$10K
24GClaims299
24DCodes billed3
24AFirst – last monthMar 2021 – May 2021
Compared with peers
Next to other Pharmacy providers in Puerto Rico
Rank by total paid#3 of 10
Median peer was paid$4K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 299 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 56% | 141 | 141 | $6K | |
| 0011A | 42% | 146 | 146 | $4K | |
| 0031A | 2.4% | 12 | 12 | $240.00 |
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 officialALVARADO, LUCIMAR (MANAGER)