SNP Pharmacy LLC

SNP Pharmacy LLC was paid $2K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 90677, — 66% of everything it billed.

33Billing provider infoSNP PHARMACY LLC
HAYWARD, CA 94545

33aNPI1336331677assigned 08/10/2007

33bProvider typePharmacy

28Total paid$2K

24GClaims92

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pharmacy providers in California

Rank by total paid#90 of 179

Median peer was paid$2K

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
2018	35	$186.33
2024incomplete	57	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90677		66%	12	12	$1K
91320		17%	22	22	$305.56
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	11%	35	16	$186.33
90480		5.9%	23	23	$103.18

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 officialBAYLIN, RUBY (MANAGER)