Supplier
Adkoa Pharmacy LLC
Adkoa Pharmacy LLC was paid $77.06 by Medicaid between Dec 2023 and Dec 2023, across 1 billing code. Its largest line is 90480, — 100% of everything it billed.
33Billing provider infoADKOA PHARMACY LLC
MANASSAS, VA 20111
MANASSAS, VA 20111
33aNPI1407309099assigned 07/29/2016
33bProvider typeCommunity/Retail Pharmacy
28Total paid$77.06
24GClaims14
24DCodes billed1
24AFirst – last monthDec 2023 – Dec 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Virginia
Rank by total paid#22 of 51
Median peer was paid$33.88
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2023 | 14 | $77.06 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90480 | 100% | 14 | 14 | $77.06 |
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 officialADDAI, ADWOA (OWNER)