Supplier
Plaza Pharmacy, INC
Plaza Pharmacy, INC was paid $1K by Medicaid between Feb 2021 and Oct 2023, across 7 billing codes. Its largest line is 91322, — 62% of everything it billed.
33Billing provider infoPLAZA PHARMACY, INC
GARDEN CITY, KS 67846
GARDEN CITY, KS 67846
33aNPI1770679714assigned 10/05/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$1K
24GClaims179
24DCodes billed7
24AFirst – last monthFeb 2021 – Oct 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Kansas
Rank by total paid#11 of 43
Median peer was paid$56.60
This provider vs. median18×
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 | |
|---|---|---|---|
| 2021 | 60 | $200.00 | |
| 2022 | 25 | $120.00 | |
| 2023 | 94 | $718.33 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 62% | 24 | 24 | $647.80 | |
| 0064A | 31% | 57 | 57 | $320.00 | |
| 90480 | 4.8% | 24 | 24 | $50.00 | |
| 90686 | 2.0% | 22 | 22 | $20.53 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | 24 | $0.00 |
| 0012A | 0% | 14 | 14 | $0.00 | |
| 0011A | 0% | 14 | 14 | $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 officialNEMECHEK, JENIFER (OWNER)