Dellwood Pharmacy LLC

Dellwood Pharmacy LLC was paid $19K by Medicaid between Oct 2020 and May 2024, across 5 billing codes. Its largest line is U0002, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc — 82% of everything it billed.

33Billing provider infoDELLWOOD PHARMACY LLC
SAINT LOUIS, MO 63136

33aNPI1194356667assigned 02/03/2020

33bProvider typeClinical Medical Laboratory

28Total paid$19K

24GClaims983

24DCodes billed5

24AFirst – last monthOct 2020 – May 2024

Compared with peers

Next to other Clinical Medical Laboratory providers in Missouri

Rank by total paid#44 of 61

Median peer was paid$85K

This provider vs. median0.2×

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

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	47	$0.00
2021	387	$0.00
2022	463	$14K
2023	52	$2K
2024incomplete	34	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	82%	708	449	$16K
99607		12%	21	21	$2K
99605		5.1%	13	13	$975.00
G0009	Administration of pneumococcal vaccine	0%	45	45	$0.00
G0008	Administration of influenza virus vaccine	0%	196	184	$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 officialMAWUENYEGA, REBECCA (OWNER/MANAGER)