Supplier
Vitalis Drugs LLC
Vitalis Drugs LLC was paid $431.77 by Medicaid between Nov 2020 and Jun 2023, across 3 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 91% of everything it billed.
33Billing provider infoVITALIS DRUGS LLC
JERSEY CITY, NJ 07307
JERSEY CITY, NJ 07307
33aNPI1851725964assigned 08/26/2013
33bProvider typePharmacy
28Total paid$431.77
24GClaims586
24DCodes billed3
24AFirst – last monthNov 2020 – Jun 2023
Compared with peers
Next to other Pharmacy providers in New Jersey
Rank by total paid#19 of 57
Median peer was paid$96.00
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2020 | 28 | $108.09 | |
| 2021 | 107 | $323.68 | |
| 2022 | 246 | $0.00 | |
| 2023 | 205 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 91% | 166 | 161 | $392.65 |
| A4259 | Lancets, per box of 100 | 9.1% | 98 | 97 | $39.12 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 322 | 320 | $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 officialASHAMALLA, ASHRAF (CO-OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Avon RX INC | Hoboken, NJ | $0.00 |
| Healthy Life Pharmacy Corp | Bayonne, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.