Supplier
Super Pharmacy LLC
Super Pharmacy LLC was paid $274K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is A4554, Disposable underpads, all sizes — 33% of everything it billed.
33Billing provider infoSUPER PHARMACY LLC
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1548308562assigned 02/02/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$274K
24GClaims4,254
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in District of Columbia
Rank by total paid#14 of 33
Median peer was paid$135K
This provider vs. median2.0×
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 | 602 | $31K | |
| 2019 | 1,030 | $70K | |
| 2020 | 820 | $65K | |
| 2021 | 707 | $55K | |
| 2022 | 405 | $22K | |
| 2023 | 375 | $19K | |
| 2024incomplete | 315 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 33% | 959 | 918 | $91K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 28% | 497 | 467 | $78K |
| A4245 | Alcohol wipes, per box | 15% | 1,153 | 1,086 | $41K |
| A4927 | Gloves, non-sterile, per 100 | 12% | 1,291 | 1,238 | $32K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 8.7% | 122 | 121 | $24K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.8% | 69 | 67 | $8K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 163 | 149 | $182.49 |
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 officialADEWUYI, ENOCK (CHIEF EXECUTIVE OFFICER)