Supplier
H Street Pharmacy and Wellness Center LLC
H Street Pharmacy and Wellness Center LLC was paid $9.96 by Medicaid between Mar 2018 and May 2018, across 2 billing codes. Its largest line is A4259, Lancets, per box of 100 — 92% of everything it billed.
33Billing provider infoH STREET PHARMACY AND WELLNESS CENTER LLC
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1710200068assigned 03/01/2010
33bProvider typeSpecialty Pharmacy
28Total paid$9.96
24GClaims47
24DCodes billed2
24AFirst – last monthMar 2018 – May 2018
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 | 47 | $9.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4259 | Lancets, per box of 100 | 92% | 14 | 12 | $9.12 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 8.4% | 33 | 30 | $0.84 |
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 officialMUTEBA, KAPIAMBA (PHARMACIST/OWNER)