Supplier
Aapex Community Pharmacy INC
Aapex Community Pharmacy INC was paid $21.70M by Medicaid between Mar 2020 and Dec 2024, across 24 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 26% of everything it billed.
33Billing provider infoAAPEX COMMUNITY PHARMACY INC
HOUSTON, TX 77019
HOUSTON, TX 77019
33aNPI1629013156assigned 06/18/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$21.70M
24GClaims99,882
24DCodes billed24
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#8 of 566
Median peer was paid$142K
This provider vs. median153×
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 | |
|---|---|---|---|
| 2020 | 5,242 | $887K | |
| 2021 | 25,681 | $5.54M | |
| 2022 | 26,814 | $5.69M | |
| 2023 | 25,058 | $5.26M | |
| 2024incomplete | 17,087 | $4.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 26% | 20,360 | 20,051 | $5.54M |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 24% | 7,045 | 6,094 | $5.22M |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 20% | 21,102 | 20,420 | $4.34M |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | 9.6% | 4,196 | 3,755 | $2.08M |
| B9998 | Noc for enteral supplies | 4.3% | 7,013 | 5,268 | $942K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.5% | 2,493 | 2,317 | $544K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.2% | 695 | 625 | $487K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | 2.0% | 1,201 | 1,163 | $443K |
| B4104 | Additive for enteral formula (e.g., fiber) | 1.8% | 976 | 856 | $400K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.8% | 1,392 | 1,309 | $397K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.5% | 10,164 | 6,549 | $336K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | 1.4% | 2,086 | 2,004 | $296K |
12 more codes
| B4157 | Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.1% | 334 | $241K |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | <1% | 656 | $139K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 614 | $69K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 325 | $67K |
| A4245 | Alcohol wipes, per box | <1% | 12,364 | $55K |
| A4554 | Disposable underpads, all sizes | <1% | 1,315 | $44K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 476 | $17K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 1,477 | $13K |
| A4335 | Incontinence supply; miscellaneous | <1% | 1,914 | $12K |
| A4670 | Automatic blood pressure monitor | <1% | 192 | $11K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 930 | $2K |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | <1% | 562 | $890.26 |
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 officialJAMAL, A M (DIRECTOR)