Supplier
Sakrx, LLC
Sakrx, LLC was paid $9.65M by Medicaid between Mar 2019 and Dec 2024, across 86 billing codes. Its largest line is B4150, Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 16% of everything it billed.
33Billing provider infoSAKRX, LLC
OMAHA, NE 68137
OMAHA, NE 68137
33aNPI1720553761assigned 10/05/2018
33bProvider typeCommunity/Retail Pharmacy
28Total paid$9.65M
24GClaims114,909
24DCodes billed86
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Nebraska
Rank by total paid#1 of 13
Median peer was paid$1K
This provider vs. median7,010×
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 | |
|---|---|---|---|
| 2019 | 16,627 | $1.52M | |
| 2020 | 24,460 | $2.16M | |
| 2021 | 31,748 | $2.52M | |
| 2022 | 28,231 | $2.45M | |
| 2023 | 11,790 | $928K | |
| 2024incomplete | 2,053 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 16% | 12,622 | 12,423 | $1.52M |
| T4541 | Incontinence product, disposable underpad, large, each | 11% | 13,190 | 13,053 | $1.02M |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 8.2% | 6,265 | 6,180 | $789K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 7.2% | 4,998 | 4,887 | $697K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 7.1% | 5,873 | 5,781 | $682K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.8% | 3,131 | 3,054 | $564K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.6% | 4,441 | 4,405 | $540K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.3% | 2,954 | 2,903 | $511K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 5.3% | 4,038 | 3,986 | $507K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 5.1% | 3,658 | 3,611 | $495K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 4.2% | 2,708 | 2,672 | $408K |
| A4927 | Gloves, non-sterile, per 100 | 4.2% | 17,391 | 16,952 | $407K |
74 more codes
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2.6% | 9,884 | $255K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 2.5% | 1,397 | $246K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1.5% | 995 | $146K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 1.5% | 1,058 | $144K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 1.4% | 918 | $134K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 682 | $70K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,918 | $68K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 667 | $61K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 163 | $56K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,619 | $53K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 573 | $36K |
| A4554 | Disposable underpads, all sizes | <1% | 1,243 | $32K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 696 | $26K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 83 | $26K |
| K0001 | Standard wheelchair | <1% | 1,174 | $20K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 218 | $17K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 1,178 | $12K |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 78 | $11K |
| E0570 | Nebulizer, with compressor | <1% | 642 | $10K |
| V5266 | Battery for use in hearing device | <1% | 557 | $7K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 821 | $7K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 115 | $7K |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | <1% | 92 | $6K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 41 | $5K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 121 | $5K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 29 | $5K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 19 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 182 | $5K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 535 | $4K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 549 | $4K |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | <1% | 76 | $3K |
| E0607 | Home blood glucose monitor | <1% | 50 | $3K |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 242 | $3K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 187 | $2K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 118 | $2K |
| A4402 | Lubricant, per ounce | <1% | 330 | $2K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 95 | $2K |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | <1% | 12 | $1K |
| A4215 | Needle, sterile, any size, each | <1% | 19 | $1K |
| A4670 | Automatic blood pressure monitor | <1% | 17 | $977.84 |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | <1% | 13 | $956.88 |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 17 | $930.44 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 34 | $843.84 |
| A4247 | Betadine or iodine swabs/wipes, per box | <1% | 13 | $733.18 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 62 | $530.06 |
| A4245 | Alcohol wipes, per box | <1% | 25 | $335.17 |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 14 | $295.89 |
| A4259 | Lancets, per box of 100 | <1% | 165 | $290.27 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 147 | $225.75 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 82 | $201.33 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 100 | $101.41 |
| A4258 | Spring-powered device for lancet, each | <1% | 46 | $77.47 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 14 | $49.26 |
| 0002A | <1% | 29 | $37.25 | |
| 90688 | <1% | 20 | $36.82 | |
| 90686 | <1% | 89 | $20.52 | |
| G0008 | Administration of influenza virus vaccine | <1% | 433 | $17.40 |
| 0012A | <1% | 338 | $17.07 | |
| 0011A | <1% | 335 | $3.30 | |
| 90694 | 0% | 120 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 0064A | 0% | 467 | $0.00 | |
| 90480 | 0% | 188 | $0.00 | |
| 90674 | 0% | 63 | $0.00 | |
| 0134A | 0% | 67 | $0.00 | |
| 0001A | 0% | 22 | $0.00 | |
| 0124A | 0% | 30 | $0.00 | |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | 0% | 16 | $0.00 |
| 0054A | 0% | 12 | $0.00 | |
| 91320 | 0% | 66 | $0.00 | |
| 91322 | 0% | 103 | $0.00 | |
| 90661 | 0% | 17 | $0.00 | |
| 0004A | 0% | 30 | $0.00 | |
| 90653 | 0% | 41 | $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 officialJENSEN, PETER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sakrx, LLC | Omaha, NE | $689K |
| Sweetwater Surgery Center LLC | Rock Springs, WY | $212K |
| Sakrx, LLC | Omaha, NE | $189K |
| Sakrx, LLC | Lincoln, NE | $160K |
| Jensen Eye Associates PLLC | Nampa, ID | $43K |
| Sakrx, LLC | Malvern, IA | $14K |
| Sakrx, LLC | Malvern, IA | $203.28 |
| Sakrx, LLC | Omaha, NE | $19.94 |
| Sakrx, LLC | Omaha, NE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.