Agency
Polaris Specialty Pharmacy, LLC
Polaris Specialty Pharmacy, LLC was paid $22K by Medicaid between Nov 2023 and Aug 2024, across 10 billing codes. Its largest line is A6402, Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing — 22% of everything it billed.
33Billing provider infoPOLARIS SPECIALTY PHARMACY, LLC
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1053186791assigned 11/22/2023
33bProvider typeHome Health Agency
28Total paid$22K
24GClaims2,443
24DCodes billed10
24AFirst – last monthNov 2023 – Aug 2024
Compared with peers
Next to other Home Health Agency providers in California
Rank by total paid#511 of 1,072
Median peer was paid$9K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2023 | 282 | $2K | |
| 2024incomplete | 2,161 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 22% | 211 | 209 | $5K |
| K0001 | Standard wheelchair | 18% | 613 | 579 | $4K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 17% | 87 | 82 | $4K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 16% | 136 | 136 | $3K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 8.0% | 77 | 75 | $2K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 6.9% | 593 | 561 | $1K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 4.9% | 89 | 88 | $1K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 4.7% | 238 | 238 | $1K |
| E0570 | Nebulizer, with compressor | 1.7% | 329 | 301 | $375.78 |
| E0156 | Seat attachment, walker | <1% | 70 | 70 | $143.73 |
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 officialHUNT, REGINA (CORPORATE DIRECTOR OF COMPLIANCE, C)