Missouri LTC Pharmacy LLC
Missouri LTC Pharmacy LLC was paid $0.00 by Medicaid between Jun 2021 and Jan 2023, across 5 billing codes. Its largest line is 0124A, — 0% of everything it billed.
33Billing provider infoMISSOURI LTC PHARMACY LLC
BROOKLINE, MO 65619
BROOKLINE, MO 65619
33aNPI1003327537assigned 10/24/2017
33bProvider typeGeriatric Pharmacist
28Total paid$0.00
24GClaims528
24DCodes billed5
24AFirst – last monthJun 2021 – 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 | |
|---|---|---|---|
| 2021 | 203 | $0.00 | |
| 2022 | 305 | $0.00 | |
| 2023 | 20 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0124A | 0% | 118 | 118 | $0.00 | |
| 0064A | 0% | 335 | 328 | $0.00 | |
| 0011A | 0% | 32 | 32 | $0.00 | |
| 91306 | 0% | 28 | 28 | $0.00 | |
| 0012A | 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 officialCERIOTTI, JANICE (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Missouri LTC Pharmacy LLC | Fenton, MO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.