Supplier
San Sebastian Pharmacy Express
San Sebastian Pharmacy Express was paid $3K by Medicaid between Mar 2021 and Apr 2021, across 2 billing codes. Its largest line is 0002A, — 71% of everything it billed.
33Billing provider infoSAN SEBASTIAN PHARMACY EXPRESS
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1306968151assigned 04/04/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$3K
24GClaims99
24DCodes billed2
24AFirst – last monthMar 2021 – Apr 2021
Compared with peers
Next to other Community/Retail Pharmacy providers in Puerto Rico
Rank by total paid#12 of 23
Median peer was paid$3K
This provider vs. median1.0×
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 | 99 | $3K |
Box 24 · Service lines
What it billed for
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 officialRIVERA SANCHEZ, LUZ (OWNER)