Supplier
Old Roswell Holdings LLC
Old Roswell Holdings LLC was paid $19K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is B4100, Food thickener, administered orally, per ounce — 100% of everything it billed.
33Billing provider infoOLD ROSWELL HOLDINGS LLC
BINGHAMTON, NY 13903
BINGHAMTON, NY 13903
33aNPI1124136296assigned 08/28/2006
33bProvider typeLong Term Care Pharmacy
28Total paid$19K
24GClaims257
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Long Term Care Pharmacy providers in New York
Rank by total paid#7 of 17
Median peer was paid$6K
This provider vs. median2.9×
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 | 245 | $19K | |
| 2020 | 12 | $71.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4100 | Food thickener, administered orally, per ounce | 100% | 245 | 195 | $19K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 12 | 12 | $71.55 |
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 | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.