Supplier
Centura Health Pharmacy at ST. Anthony North
Centura Health Pharmacy at ST. Anthony North was paid $462.00 by Medicaid between Aug 2024 and Aug 2024, across 1 billing code. Its largest line is A4215, Needle, sterile, any size, each — 100% of everything it billed.
33Billing provider infoCENTURA HEALTH PHARMACY AT ST. ANTHONY NORTH
WESTMINSTER, CO 80023
WESTMINSTER, CO 80023
33aNPI1306249024assigned 10/08/2014
33bProvider typeSpecialty Pharmacy
28Total paid$462.00
24GClaims12
24DCodes billed1
24AFirst – last monthAug 2024 – Aug 2024
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 | |
|---|---|---|---|
| 2024incomplete | 12 | $462.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4215 | Needle, sterile, any size, each | 100% | 12 | 12 | $462.00 |
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 officialFERLAS, BRANDON (PHARMACY MANAGER)