Supplier
Lake Success RX Corp
Lake Success RX Corp was paid $466.32 by Medicaid between Mar 2023 and Oct 2024, across 1 billing code. Its largest line is E0570, Nebulizer, with compressor — 100% of everything it billed.
33Billing provider infoLAKE SUCCESS RX CORP
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
33aNPI1508526328assigned 12/20/2021
33bProvider typeCommunity/Retail Pharmacy
28Total paid$466.32
24GClaims379
24DCodes billed1
24AFirst – last monthMar 2023 – Oct 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in New York
Rank by total paid#88 of 129
Median peer was paid$2K
This provider vs. median0.2×
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 | 181 | $297.17 | |
| 2024incomplete | 198 | $169.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | 100% | 379 | 378 | $466.32 |
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 officialZAVULUNOV, STANISLAV (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Little Neck RX Corp | Little Neck, NY | $98.77 |
| Hcor Specialty Pharmacy LLC | Forest Hills, NY | $45.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.