Supplier
15RX LLC
15RX LLC was paid $6K by Medicaid between Dec 2019 and Feb 2022, across 5 billing codes. Its largest line is A4554, Disposable underpads, all sizes — 81% of everything it billed.
33Billing provider info15RX LLC
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
33aNPI1841595188assigned 01/18/2011
33bProvider typeCommunity/Retail Pharmacy
28Total paid$6K
24GClaims502
24DCodes billed5
24AFirst – last monthDec 2019 – Feb 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Texas
Rank by total paid#16 of 52
Median peer was paid$643.64
This provider vs. median9.8×
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 | 28 | $551.88 | |
| 2020 | 461 | $5K | |
| 2022 | 13 | $450.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 81% | 161 | 156 | $5K |
| A4927 | Gloves, non-sterile, per 100 | 15% | 132 | 132 | $937.87 |
| A4335 | Incontinence supply; miscellaneous | 3.8% | 168 | 165 | $236.36 |
| 90686 | 0% | 20 | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 21 | 21 | $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 officialAJMANI, DHIRAJ (PHARMACIST-INCHARGE)