My DR'S Pharmacy

My DR'S Pharmacy was paid $243.34 by Medicaid between Feb 2021 and Nov 2023, across 4 billing codes. Its largest line is 0001A, — 49% of everything it billed.

33Billing provider infoMY DR'S PHARMACY
HERNDON, VA 20170

33aNPI1629426648assigned 05/31/2016

33bProvider typePrimary Care Clinic/Center

28Total paid$243.34

24GClaims116

24DCodes billed4

24AFirst – last monthFeb 2021 – Nov 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in Virginia

Rank by total paid#79 of 80

Median peer was paid$108K

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
2021	102	$231.67
2023	14	$11.67

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0001A		49%	13	13	$118.58
0011A		35%	31	31	$84.70
0012A		12%	58	58	$28.39
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	14	12	$11.67

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 officialMANNA, JAMIL (OWNER, PIC, AO)