Prescription Shop LLC

Prescription Shop LLC was paid $28K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 98% of everything it billed.

33Billing provider infoPRESCRIPTION SHOP LLC
PUEBLO, CO 81005

33aNPI1972694990assigned 09/27/2006

33bProvider typeCompounding Pharmacy

28Total paid$28K

24GClaims2,292

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Compounding Pharmacy providers in Colorado

Rank by total paid#3 of 9

Median peer was paid$3K

This provider vs. median9.6×

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
2018	385	$9K
2019	388	$5K
2020	410	$4K
2021	371	$3K
2022	336	$3K
2023	272	$2K
2024incomplete	130	$1K

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	98%	2,003	1,828	$28K
A4259	Lancets, per box of 100	1.8%	143	141	$504.47
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	77	68	$0.00
90756		0%	69	63	$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 officialSAJBEL, JAMES (OWNER/PHARMACIST)

Parent organizationPRESCRIPTION SHOP LLC