Supplier
Van Dyke RX LLC
Van Dyke RX LLC was paid $26K by Medicaid between Sep 2023 and Nov 2024, across 3 billing codes. Its largest line is 99606, — 47% of everything it billed.
33Billing provider infoVAN DYKE RX LLC
STERLING HEIGHTS, MI 48313
STERLING HEIGHTS, MI 48313
33aNPI1649934233assigned 10/28/2021
33bProvider typePharmacy
28Total paid$26K
24GClaims1,158
24DCodes billed3
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers
Next to other Pharmacy providers in Michigan
Rank by total paid#12 of 33
Median peer was paid$8K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2023 | 162 | $5K | |
| 2024incomplete | 996 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99606 | 47% | 497 | 461 | $12K | |
| 99607 | 29% | 506 | 478 | $8K | |
| 99605 | 24% | 155 | 155 | $6K |
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 officialMORAD, RITA (OWNER/PHARMACIST)