Supplier
Omdera Integrated Services, LLC
Omdera Integrated Services, LLC was paid $3K by Medicaid between Oct 2024 and Oct 2024, across 4 billing codes. Its largest line is 91322, — 69% of everything it billed.
33Billing provider infoOMDERA INTEGRATED SERVICES, LLC
AURORA, CO 80012
AURORA, CO 80012
33aNPI1386229904assigned 03/15/2021
33bProvider typeCommunity/Retail Pharmacy
28Total paid$3K
24GClaims68
24DCodes billed4
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Colorado
Rank by total paid#27 of 61
Median peer was paid$2K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2024incomplete | 68 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 69% | 16 | 15 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 21 | 19 | $338.72 |
| 90656 | 10% | 16 | 15 | $290.55 | |
| 90480 | 9.0% | 15 | 14 | $254.04 |
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 officialNWAGWU, AGATHA (PHARMACIST)