Phalen Family Pharmacy LTD

Phalen Family Pharmacy LTD was paid $3K by Medicaid between Oct 2018 and Sep 2023, across 12 billing codes. Its largest line is 0001A, — 40% of everything it billed.

33Billing provider infoPHALEN FAMILY PHARMACY LTD
SAINT PAUL, MN 55106

33aNPI1972892438assigned 04/05/2011

33bProvider typeCommunity/Retail Pharmacy

28Total paid$3K

24GClaims501

24DCodes billed12

24AFirst – last monthOct 2018 – Sep 2023

Compared with peers

Next to other Community/Retail Pharmacy providers in Minnesota

Rank by total paid#4 of 37

Median peer was paid$78.42

This provider vs. median40×

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	30	$404.99
2019	26	$375.82
2020	32	$324.80
2021	173	$488.76
2022	157	$825.75
2023	83	$727.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0001A		40%	69	69	$1K
G0008	Administration of influenza virus vaccine	20%	128	127	$630.44
90674		15%	71	71	$473.72
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13%	29	26	$413.61
90656		12%	27	24	$367.20
91300		0%	58	58	$0.00
91312		0%	22	21	$0.00
0124A		0%	15	15	$0.00
0012A		0%	28	28	$0.00
0011A		0%	26	26	$0.00
91301		0%	13	13	$0.00
90688		0%	15	15	$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 officialLO, MAY (PHARMACIST/ OWNER)