Jellico Drug Store INC

Jellico Drug Store INC was paid $190.17 by Medicaid between Feb 2018 and Aug 2019, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 72% of everything it billed.

33Billing provider infoJELLICO DRUG STORE INC
JELLICO, TN 37762

33aNPI1093753196assigned 06/02/2006

33bProvider typeParenteral & Enteral Nutrition Supplies (DME)

28Total paid$190.17

24GClaims124

24DCodes billed2

24AFirst – last monthFeb 2018 – Aug 2019

Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Tennessee

Rank by total paid#27 of 27

Median peer was paid$524K

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
2018	111	$172.63
2019	13	$17.54

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	72%	112	106	$137.37
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	28%	12	12	$52.80

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 officialBAIRD, JOHN (OWNER / PHARMACIST / PRESIDENT)