Supplier
Alixa RX LLC
Alixa RX LLC was paid $11K by Medicaid between Nov 2021 and Apr 2024, across 2 billing codes. Its largest line is A9150, Non-prescription drugs — 100% of everything it billed.
33Billing provider infoALIXA RX LLC
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
33aNPI1497020390assigned 03/12/2012
33bProvider typePharmacy
28Total paid$11K
24GClaims469
24DCodes billed2
24AFirst – last monthNov 2021 – Apr 2024
Compared with peers
Next to other Pharmacy providers in Minnesota
Rank by total paid#11 of 29
Median peer was paid$2K
This provider vs. median5.1×
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 | 15 | $0.00 | |
| 2024incomplete | 454 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9150 | Non-prescription drugs | 100% | 454 | 26 | $11K |
| 0011A | 0% | 15 | 15 | $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 officialSHAMALOV, MICHAEL (MANAGING MEMBER)
Parent organizationMARINA PHARMACY CORP
| Provider | Location | Paid |
|---|---|---|
| Li Script LLC | Woodbury, NY | $0.00 |
| Alixa RX LLC | Bridgeville, PA | $0.00 |
| Alixa RX LLC | Indianapolis, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.