Supplier
Springfield Pharmacy LLC
Springfield Pharmacy LLC was paid $288.54 by Medicaid between Oct 2020 and Oct 2020, across 2 billing codes. Its largest line is 90686, — 56% of everything it billed.
33Billing provider infoSPRINGFIELD PHARMACY LLC
RALEIGH, NC 27615
RALEIGH, NC 27615
33aNPI1184264897assigned 01/10/2020
33bProvider typeCommunity/Retail Pharmacy
28Total paid$288.54
24GClaims36
24DCodes billed2
24AFirst – last monthOct 2020 – Oct 2020
Compared with peers
Next to other Community/Retail Pharmacy providers in North Carolina
Rank by total paid#229 of 283
Median peer was paid$2K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 36 | $288.54 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 56% | 19 | 14 | $162.81 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 44% | 17 | 15 | $125.73 |
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 officialPATEL, HIMANSHU (PHARMACY MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Central Jersey Pediatrics | Somerset, NJ | $193K |
| Kishan-Henal Limited Liability Company | Toms River, NJ | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.