Hines Street Pharmacy 2 LLC

Hines Street Pharmacy 2 LLC was paid $52K by Medicaid between May 2022 and Aug 2023, across 6 billing codes. Its largest line is 99606, — 72% of everything it billed.

33Billing provider infoHINES STREET PHARMACY 2 LLC
REPUBLIC, MO 65738

33aNPI1790439842assigned 02/08/2022

33bProvider typeClinic/Center

28Total paid$52K

24GClaims5,546

24DCodes billed6

24AFirst – last monthMay 2022 – Aug 2023

Compared with peers

Next to other Clinic/Center providers in Missouri

Rank by total paid#38 of 77

Median peer was paid$48K

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
2022	2,434	$21K
2023	3,112	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99606		72%	3,396	1,164	$37K
99607		17%	1,521	490	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.6%	427	194	$3K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3.4%	37	28	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	106	85	$356.34
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	0%	59	49	$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 officialMCCLANAHAN, STEVE (OWNER)