Mesa Pharmacy of Pueblo, INC.
Mesa Pharmacy of Pueblo, INC. was paid $4K by Medicaid between Oct 2020 and Dec 2021, across 5 billing codes. Its largest line is 0012A, — 53% of everything it billed.
33Billing provider infoMESA PHARMACY OF PUEBLO, INC.
PUEBLO, CO 81006
PUEBLO, CO 81006
33aNPI1710097969assigned 08/30/2006
33bProvider typePharmacist
28Total paid$4K
24GClaims437
24DCodes billed5
24AFirst – last monthOct 2020 – Dec 2021
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 | 18 | $246.89 | |
| 2021 | 419 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 53% | 105 | 105 | $2K | |
| 0011A | 29% | 73 | 72 | $1K | |
| 0013A | 12% | 13 | 13 | $507.66 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 5.9% | 18 | 17 | $246.89 |
| 91301 | 0% | 228 | 222 | $0.00 |
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 officialFRANTZ, MARGARET (PHARMACY MANAGER)