Supplier
Ezyfast Pharmacy L L C
Ezyfast Pharmacy L L C was paid $760.98 by Medicaid between Nov 2021 and Nov 2021, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoEZYFAST PHARMACY L L C
BULLHEAD CITY, AZ 86442
BULLHEAD CITY, AZ 86442
33aNPI1366717860assigned 03/15/2012
33bProvider typeCompounding Pharmacy
28Total paid$760.98
24GClaims16
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 | 16 | $760.98 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 16 | 15 | $760.98 |
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 officialKESITILWE, EZEKIEL (OWNER)