Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

5 Minute Pharmacy SBC

5 Minute Pharmacy SBC was paid $461K by Medicaid between Nov 2023 and Dec 2024, across 9 billing codes. Its largest line is T1502, Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit — 100% of everything it billed.

33Billing provider info5 MINUTE PHARMACY SBC
HONOLULU, HI 96817
33aNPI1477224137assigned 09/22/2021
28Total paid$461K
24GClaims11,782
24DCodes billed9
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers

Next to other Community/Retail Pharmacy providers in Hawaii

Rank by total paid#3 of 19
Median peer was paid$3K
This provider vs. median157×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20232,168$88K
2024incomplete9,614$373K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 100% 5,514 3,538 $461K
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 1,671 937 $7.01
J2794 Injection, risperidone (risperdal consta), 0.5 mg 0% 101 37 $0.00
J2427 Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg 0% 305 181 $0.00
J2798 Injection, risperidone, (perseris), 0.5 mg 0% 225 130 $0.00
J3490 Unclassified drugs 0% 24 14 $0.00
J1631 Injection, haloperidol decanoate, per 50 mg 0% 279 122 $0.00
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg 0% 723 367 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 0% 2,940 1,574 $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 officialTENGAN, DEREK (MANAGER)
Same official

Other billing entities under TENGAN, DEREK

Full network →
ProviderLocationPaid
Outreach Medical Group Downtown LLCHonolulu, HI$15K
5 Minute Pharmacy LTC LLCWaipahu, HI$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.