Supplier
Pine Drug INC
Pine Drug INC was paid $20K by Medicaid between Apr 2022 and Apr 2023, across 3 billing codes. Its largest line is T4541, Incontinence product, disposable underpad, large, each — 85% of everything it billed.
33Billing provider infoPINE DRUG INC
SANTA ANA, CA 92701
SANTA ANA, CA 92701
33aNPI1003201328assigned 04/02/2015
33bProvider typeLong Term Care Pharmacy
28Total paid$20K
24GClaims309
24DCodes billed3
24AFirst – last monthApr 2022 – Apr 2023
Compared with peers
Next to other Long Term Care Pharmacy providers in California
Rank by total paid#5 of 33
Median peer was paid$788.79
This provider vs. median26×
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 | |
|---|---|---|---|
| 2022 | 177 | $12K | |
| 2023 | 132 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 85% | 271 | 265 | $17K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 9.6% | 26 | 25 | $2K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 5.5% | 12 | 12 | $1K |
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 officialDANG, JOHN (PHARMACY MANAGER)