Supplier
Adepa Pharmacy PLLC
Adepa Pharmacy PLLC was paid $332.11 by Medicaid between Nov 2021 and Nov 2021, across 1 billing code. Its largest line is 0013A, — 100% of everything it billed.
33Billing provider infoADEPA PHARMACY PLLC
TUCSON, AZ 85742
TUCSON, AZ 85742
33aNPI1336749860assigned 10/26/2020
33bProvider typeLong Term Care Pharmacy
28Total paid$332.11
24GClaims13
24DCodes billed1
24AFirst – last monthNov 2021 – Nov 2021
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 | 13 | $332.11 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0013A | 100% | 13 | 13 | $332.11 |
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 officialOWUSU-BOADI, IRENE (MANAGER)