Supplier
Nova Pharmacy LLC
Nova Pharmacy LLC was paid $67.00 by Medicaid between Sep 2018 and Oct 2019, across 2 billing codes. Its largest line is 90653, — 76% of everything it billed.
33Billing provider infoNOVA PHARMACY LLC
ARLINGTON, VA 22205
ARLINGTON, VA 22205
33aNPI1497042956assigned 07/06/2011
33bProvider typeCompounding Pharmacy
28Total paid$67.00
24GClaims200
24DCodes billed2
24AFirst – last monthSep 2018 – Oct 2019
Compared with peers
Next to other Compounding Pharmacy providers in Virginia
Rank by total paid#4 of 5
Median peer was paid$1K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 126 | $67.00 | |
| 2019 | 74 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90653 | 76% | 91 | 86 | $51.20 | |
| G0008 | Administration of influenza virus vaccine | 24% | 109 | 104 | $15.80 |
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 officialDO, TO-UYEN (OWNER,PIC,AO)