VALUE RX LLC SOS Verified
4921 W CRAIG RD, LAS VEGAS, NV 89130
NPI Number
1205425667
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: VALUE RX LLC
Entity Number: E9701192020-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-10-09
Status Changed: 2020-10-09
Name Match: 95%
Registered Agent
Name: REPUBLIC REGISTERED AGENT LLC
Type: Commercial Registered Agent
Address: 930 S 4th St Ste 209, Las Vegas, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Kristy Tran | 4921 west craig rd, Las Vegas, NV | Active |
| Mmember | Thanh Ngo | 4921 west craig rd, Las Vegas, NV | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2022 | $0 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(... | 12 | $0 | 0.0% | $0 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 662 | $0 | 0.0% | $0 |
| 0124A | Medical service or procedure | 27 | $0 | 0.0% | $0 |