Supplier
Bon Ami Pharmacy
Bon Ami Pharmacy was paid $0.00 by Medicaid between Jan 2021 and Oct 2022, across 6 billing codes. Its largest line is 0013A, — 0% of everything it billed.
33Billing provider infoBON AMI PHARMACY
BREAUX BRIDGE, LA 70517
BREAUX BRIDGE, LA 70517
33aNPI1396270955assigned 04/20/2017
33bProvider typePharmacy
28Total paid$0.00
24GClaims477
24DCodes billed6
24AFirst – last monthJan 2021 – Oct 2022
Compared with peers
Next to other Pharmacy providers in Louisiana
Rank by total paid#16 of 133
Median peer was paid$0.00
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 428 | $0.00 | |
| 2022 | 49 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0013A | 0% | 14 | 14 | $0.00 | |
| 0064A | 0% | 108 | 106 | $0.00 | |
| 90694 | 0% | 13 | 13 | $0.00 | |
| 0011A | 0% | 191 | 187 | $0.00 | |
| 0012A | 0% | 134 | 133 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | 17 | $0.00 |
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 officialSTELLY, MYLES (OWNER)