Supplier
Jake Enterprises INC
Jake Enterprises INC was paid $452.70 by Medicaid between Jul 2020 and Jan 2023, across 1 billing code. Its largest line is A4215, Needle, sterile, any size, each — 100% of everything it billed.
33Billing provider infoJAKE ENTERPRISES INC
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1962540955assigned 02/02/2007
33bProvider typeClinic Pharmacy
28Total paid$452.70
24GClaims120
24DCodes billed1
24AFirst – last monthJul 2020 – Jan 2023
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 | 26 | $112.70 | |
| 2021 | 81 | $289.60 | |
| 2023 | 13 | $50.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4215 | Needle, sterile, any size, each | 100% | 120 | 114 | $452.70 |
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 officialFLORENDO, MARILYN (MANAGING PHARMACIST)