Supplier
Sams Prescription Shop INC
Sams Prescription Shop INC was paid $51K by Medicaid between Feb 2019 and Sep 2021, across 1 billing code. Its largest line is T2029, Specialized medical equipment, not otherwise specified, waiver — 100% of everything it billed.
33Billing provider infoSAMS PRESCRIPTION SHOP INC
FAYETTE, MO 65248
FAYETTE, MO 65248
33aNPI1336251339assigned 08/31/2006
33bProvider typeCompounding Pharmacy
28Total paid$51K
24GClaims523
24DCodes billed1
24AFirst – last monthFeb 2019 – Sep 2021
Compared with peers
Next to other Compounding Pharmacy providers in Missouri
Rank by total paid#7 of 12
Median peer was paid$51K
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 | |
|---|---|---|---|
| 2019 | 179 | $14K | |
| 2020 | 257 | $26K | |
| 2021 | 87 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 100% | 523 | 470 | $51K |
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 officialTADRUS, CHRISTIAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sams Prescription Shop INC | Moberly, MO | $207K |
| Sams Prescription Shop INC | Moberly, MO | $319.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.