Supplier
Pevely RX
Pevely RX was paid $56K by Medicaid between May 2023 and Dec 2023, across 3 billing codes. Its largest line is 99607, — 69% of everything it billed.
33Billing provider infoPEVELY RX
PEVELY, MO 63070
PEVELY, MO 63070
33aNPI1790034064assigned 09/02/2012
33bProvider typeCompounding Pharmacy
28Total paid$56K
24GClaims863
24DCodes billed3
24AFirst – last monthMay 2023 – Dec 2023
Compared with peers
Next to other Compounding Pharmacy providers in Missouri
Rank by total paid#5 of 12
Median peer was paid$51K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 863 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99607 | 69% | 440 | 424 | $39K | |
| 99606 | 23% | 362 | 352 | $13K | |
| 99605 | 7.7% | 61 | 55 | $4K |
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 officialWANG, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Desert Pediatrics, LLC | El Paso, TX | $97K |
| Tomlyn, INC | Affton, MO | $55K |
| MS MGC INC | Montgomery City, MO | $900.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.