Supplier
KB Pharmacy PLLC
KB Pharmacy PLLC was paid $158.13 by Medicaid between Oct 2024 and Oct 2024, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.
33Billing provider infoKB PHARMACY PLLC
GRAFTON, ND 58237
GRAFTON, ND 58237
33aNPI1740228774assigned 06/03/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$158.13
24GClaims40
24DCodes billed3
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in North Dakota
Rank by total paid#26 of 28
Median peer was paid$42K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 40 | $158.13 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100% | 14 | 13 | $158.13 |
| 90686 | 0% | 13 | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | 13 | $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 officialWHARAM, BETH (CO-OWNER)