Supplier
Ipack Pharmacy LLC
Ipack Pharmacy LLC was paid $11K by Medicaid between Mar 2021 and Nov 2022, across 11 billing codes. Its largest line is 0004A, — 26% of everything it billed.
33Billing provider infoIPACK PHARMACY LLC
BROOKFIELD, WI 53005
BROOKFIELD, WI 53005
33aNPI1902417207assigned 08/11/2020
33bProvider typeCommunity/Retail Pharmacy
28Total paid$11K
24GClaims802
24DCodes billed11
24AFirst – last monthMar 2021 – Nov 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#77 of 185
Median peer was paid$6K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 625 | $8K | |
| 2022 | 177 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0004A | 26% | 102 | 101 | $3K | |
| 90674 | 21% | 69 | 69 | $2K | |
| 0064A | 18% | 71 | 71 | $2K | |
| 0071A | 13% | 47 | 45 | $1K | |
| 0072A | 10% | 37 | 36 | $1K | |
| 0011A | 5.3% | 43 | 41 | $580.42 | |
| 0001A | 3.5% | 16 | 16 | $381.60 | |
| 0012A | 3.4% | 21 | 20 | $371.83 | |
| 91300 | 0% | 155 | 152 | $0.00 | |
| 91307 | 0% | 96 | 86 | $0.00 | |
| 91301 | 0% | 145 | 118 | $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 officialPATEL, SUNNY (PRESIDENT)