Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Healthville Pharmacy LLC

Healthville Pharmacy LLC was paid $13K by Medicaid between Oct 2019 and Dec 2023, across 7 billing codes. Its largest line is A4305, Disposable drug delivery system, flow rate of 50 ml or greater per hour — 91% of everything it billed.

33Billing provider infoHEALTHVILLE PHARMACY LLC
LAREDO, TX 78041
33aNPI1194276204assigned 10/24/2016
33bProvider typePharmacist
28Total paid$13K
24GClaims188
24DCodes billed7
24AFirst – last monthOct 2019 – Dec 2023
Compared with peers

Next to other Pharmacist providers in Texas

Rank by total paid#3 of 8
Median peer was paid$6K
This provider vs. median2.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
201924$0.00
202181$0.00
202383$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour 91% 42 39 $12K
A4245 Alcohol wipes, per box 9.3% 41 38 $1K
0013A 0% 29 29 $0.00
90756 0% 12 12 $0.00
0011A 0% 26 26 $0.00
G0008 Administration of influenza virus vaccine 0% 12 12 $0.00
0012A 0% 26 26 $0.00

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 officialBUSARI, KEHINDE (PHARMACY MANAGER)