Supplier
Mini Thuong Xa Pharmacy INC
Mini Thuong Xa Pharmacy INC was paid $4K by Medicaid between Jul 2018 and Sep 2018, across 1 billing code. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 100% of everything it billed.
33Billing provider infoMINI THUONG XA PHARMACY INC
CHICAGO, IL 60640
CHICAGO, IL 60640
33aNPI1659425577assigned 01/22/2007
33bProvider typePharmacy
28Total paid$4K
24GClaims37
24DCodes billed1
24AFirst – last monthJul 2018 – Sep 2018
Compared with peers
Next to other Pharmacy providers in Illinois
Rank by total paid#5 of 10
Median peer was paid$2K
This provider vs. median1.8×
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 | 37 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 100% | 37 | 36 | $4K |
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 officialPHAM, NAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| All Smiles Dental PA | Medina, MN | $5.12M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.