Supplier
Spartan Pharmacy INC
Spartan Pharmacy INC was paid $44K by Medicaid between Sep 2021 and Nov 2023, across 7 billing codes. Its largest line is M0247, Intravenous infusion, sotrovimab, includes infusion and post administration monitoring — 49% of everything it billed.
33Billing provider infoSPARTAN PHARMACY INC
PITTSBURGH, PA 15227
PITTSBURGH, PA 15227
33aNPI1891706461assigned 08/10/2006
33bProvider typePharmacy
28Total paid$44K
24GClaims918
24DCodes billed7
24AFirst – last monthSep 2021 – Nov 2023
Compared with peers
Next to other Pharmacy providers in Pennsylvania
Rank by total paid#13 of 51
Median peer was paid$4K
This provider vs. median11×
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 | 447 | $21K | |
| 2022 | 409 | $21K | |
| 2023 | 62 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | 49% | 75 | 75 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 29% | 395 | 364 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12% | 272 | 249 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.0% | 76 | 75 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 60 | 56 | $690.00 |
| 90756 | 1.6% | 23 | 22 | $683.18 | |
| 90674 | <1% | 17 | 17 | $187.00 |
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 officialRICE, ADAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Olympus Infusions INC | Pittsburgh, PA | $97K |
| Spartan Pharmacy INC | Bethel Park, PA | $264.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.