Pharmacy Corporation of America
Pharmacy Corporation of America was paid $1.40M by Medicaid between Jan 2018 and Mar 2024, across 33 billing codes. Its largest line is A4927, Gloves, non-sterile, per 100 — 20% of everything it billed.
GREAT FALLS, MT 59405
Next to other Community/Behavioral Health Agency providers in Montana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,295 | $125K | |
| 2019 | 3,848 | $126K | |
| 2020 | 3,567 | $154K | |
| 2021 | 5,943 | $355K | |
| 2022 | 4,952 | $318K | |
| 2023 | 4,119 | $293K | |
| 2024incomplete | 433 | $28K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 20% | 3,748 | 3,148 | $274K |
| T2028 | Specialized supply, not otherwise specified, waiver | 16% | 8,084 | 6,405 | $226K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 13% | 1,152 | 1,039 | $176K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 11% | 1,434 | 1,216 | $159K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 9.8% | 814 | 680 | $137K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 7.3% | 818 | 671 | $101K |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | 3.5% | 609 | 574 | $49K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 3.4% | 1,055 | 1,009 | $47K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 3.2% | 258 | 237 | $44K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2.9% | 408 | 381 | $41K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 1.5% | 81 | 81 | $21K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 1.4% | 400 | 327 | $19K |
21 more codes
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.3% | 4,336 | $18K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.0% | 136 | $14K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 136 | $13K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 266 | $13K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 52 | $12K |
| L2630 | Addition to lower extremity, pelvic control, band and belt, unilateral | <1% | 24 | $7K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 14 | $6K |
| A4215 | Needle, sterile, any size, each | <1% | 193 | $6K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 47 | $6K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 27 | $3K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 14 | $2K |
| E0570 | Nebulizer, with compressor | <1% | 346 | $2K |
| E0607 | Home blood glucose monitor | <1% | 28 | $736.27 |
| A4259 | Lancets, per box of 100 | <1% | 1,017 | $530.24 |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 1,157 | $232.18 |
| A4245 | Alcohol wipes, per box | <1% | 41 | $58.38 |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 0% | 318 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | $0.00 |
| 90674 | 0% | 38 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 52 | $0.00 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Res-Care Kansas, INC. | Wichita, KS | $38.15M |
| Rescare Kansas, INC. | Garden City, KS | $31.60M |
| Res-Care Kansas, INC. | Newton, KS | $30.04M |
| Res-Care Kansas, INC | Parsons, KS | $22.64M |
| Rescare Kansas, INC. | Goodland, KS | $22.53M |
| Rescare Kansas, INC. | Kansas City, KS | $22.34M |
| Res-Care Kansas, INC. | Winfield, KS | $21.38M |
| Rescare Kansas, INC. | Great Bend, KS | $15.41M |
| Mills Medical Practices, LLC | Beachwood, OH | $440K |
| Chem RX Pharmacy Services, LLC | Uniondale, NY | $68K |
| Pharmacy Corporation of America | Taunton, MA | $9K |
| Pharmerica East LLC | Worthington, OH | $7K |
| Pharmacy Corporation of America | Washington, NC | $5K |
| Pharmacy Corporation of America | Largo, FL | $2K |
| Pharmacy Corporation of America | Asheville, NC | $633.47 |
| Pharmacy Corporation of America | Altamonte Springs, FL | $349.92 |
| Pharmacy Corporation of America | Raleigh, NC | $257.42 |
| Pharmerica East LLC | Portland, ME | $212.18 |
| Pharmerica Mountain LLC | Tucson, AZ | $83.00 |
| Pharmacy Corporation of America | Tallahassee, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.