Supplier
Smithburg Retail Enterprise, INC.
Smithburg Retail Enterprise, INC. was paid $9K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 85% of everything it billed.
33Billing provider infoSMITHBURG RETAIL ENTERPRISE, INC.
LIMON, CO 80828
LIMON, CO 80828
33aNPI1548365992assigned 09/13/2006
33bProvider typeLong Term Care Pharmacy
28Total paid$9K
24GClaims666
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Colorado
Rank by total paid#6 of 15
Median peer was paid$2K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2018 | 95 | $2K | |
| 2019 | 106 | $2K | |
| 2020 | 69 | $945.23 | |
| 2021 | 191 | $1K | |
| 2022 | 68 | $854.96 | |
| 2023 | 111 | $1K | |
| 2024incomplete | 26 | $313.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 85% | 504 | 468 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.5% | 52 | 48 | $884.91 |
| 90686 | 5.1% | 28 | 28 | $477.84 | |
| 91306 | 0% | 12 | 12 | $0.00 | |
| 0064A | 0% | 12 | 12 | $0.00 | |
| 0011A | 0% | 15 | 15 | $0.00 | |
| 91301 | 0% | 43 | 39 | $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 officialSMITHBURG, RYAN (OWNER)