Supplier
Kentucky Pharmacy #1, LLC
Kentucky Pharmacy #1, LLC was paid $0.00 by Medicaid between Oct 2021 and Jul 2023, across 3 billing codes. Its largest line is 0064A, — 0% of everything it billed.
33Billing provider infoKENTUCKY PHARMACY #1, LLC
SHELBYVILLE, KY 40065
SHELBYVILLE, KY 40065
33aNPI1063897015assigned 07/20/2015
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims61
24DCodes billed3
24AFirst – last monthOct 2021 – Jul 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Kentucky
Rank by total paid#24 of 59
Median peer was paid$0.00
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 33 | $0.00 | |
| 2022 | 12 | $0.00 | |
| 2023 | 16 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0064A | 0% | 31 | 31 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | 13 | $0.00 |
| 0134A | 0% | 16 | 16 | $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 officialUNDERWOOD, JASON (SOLE MEMBER)