Supplier
Border Village Pharmacy INC
Border Village Pharmacy INC was paid $609.49 by Medicaid between Sep 2022 and Sep 2023, across 3 billing codes. Its largest line is 90694, — 83% of everything it billed.
33Billing provider infoBORDER VILLAGE PHARMACY INC
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1689145120assigned 12/10/2018
33bProvider typeCommunity/Retail Pharmacy
28Total paid$609.49
24GClaims152
24DCodes billed3
24AFirst – last monthSep 2022 – Sep 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in California
Rank by total paid#135 of 366
Median peer was paid$195.39
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2022 | 81 | $383.35 | |
| 2023 | 71 | $226.14 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90694 | 83% | 88 | 88 | $507.14 | |
| G0008 | Administration of influenza virus vaccine | 11% | 48 | 48 | $69.84 |
| 90756 | 5.3% | 16 | 16 | $32.51 |
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 officialDAVYDOV, LEONID (CEO/PIC)