Supplier
Old Roswell Holdings LLC
Old Roswell Holdings LLC was paid $2K by Medicaid between Jun 2018 and Mar 2024, across 1 billing code. Its largest line is T4524, Adult sized disposable incontinence product, brief/diaper, extra large, each — 100% of everything it billed.
33Billing provider infoOLD ROSWELL HOLDINGS LLC
BINGHAMTON, NY 13903
BINGHAMTON, NY 13903
33aNPI1083722151assigned 08/28/2006
33bProvider typePharmacy
28Total paid$2K
24GClaims30
24DCodes billed1
24AFirst – last monthJun 2018 – Mar 2024
Compared with peers
Next to other Pharmacy providers in New York
Rank by total paid#66 of 126
Median peer was paid$2K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 12 | $636.12 | |
| 2024incomplete | 18 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 100% | 30 | 30 | $2K |
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 officialEDEN, TRACY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Old Roswell Holdings LLC | Binghamton, NY | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.