Supplier
Tri Town Pharmacy LLC
Tri Town Pharmacy LLC was paid $2K by Medicaid between Nov 2021 and Jan 2022, across 2 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 95% of everything it billed.
33Billing provider infoTRI TOWN PHARMACY LLC
WOODLAND PARK, NJ 07424
WOODLAND PARK, NJ 07424
33aNPI1073163291assigned 09/19/2019
33bProvider typeCommunity/Retail Pharmacy
28Total paid$2K
24GClaims372
24DCodes billed2
24AFirst – last monthNov 2021 – Jan 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in New Jersey
Rank by total paid#9 of 123
Median peer was paid$40.00
This provider vs. median47×
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 | 175 | $1K | |
| 2022 | 197 | $612.57 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 95% | 261 | 172 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.1% | 111 | 67 | $96.00 |
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 officialISAAC, LUCY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tamav Irini INC | Garwood, NJ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.