Supplier
Boulevard Pharmacy INC
Boulevard Pharmacy INC was paid $1K by Medicaid between Dec 2019 and Dec 2019, across 1 billing code. Its largest line is E0570, Nebulizer, with compressor — 100% of everything it billed.
33Billing provider infoBOULEVARD PHARMACY INC
BARTLESVILLE, OK 74003
BARTLESVILLE, OK 74003
33aNPI1588733869assigned 11/08/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1K
24GClaims15
24DCodes billed1
24AFirst – last monthDec 2019 – Dec 2019
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Oklahoma
Rank by total paid#147 of 166
Median peer was paid$146K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 15 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | 100% | 15 | 15 | $1K |
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 officialDESHAZO, KIRK (PRESIDENT/OWNER)