Watervliet Pharmacy Acquisition, LLC

Watervliet Pharmacy Acquisition, LLC was paid $95K by Medicaid between Jan 2018 and Apr 2020, across 10 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 88% of everything it billed.

33Billing provider infoWATERVLIET PHARMACY ACQUISITION, LLC
WATERVLIET, NY 12189

33aNPI1144335183assigned 08/20/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$95K

24GClaims1,677

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New York

Rank by total paid#258 of 479

Median peer was paid$138K

This provider vs. median0.7×

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	1,284	$62K
2019	343	$27K
2020	50	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	88%	1,028	1,028	$83K
E0601	Continuous positive airway pressure (cpap) device	4.4%	146	143	$4K
A7030	Full face mask used with positive airway pressure device, each	2.4%	37	37	$2K
E0562	Humidifier, heated, used with positive airway pressure device	2.2%	154	151	$2K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	1.6%	73	73	$2K
A7038	Filter, disposable, used with positive airway pressure device	<1%	114	111	$330.71
A7037	Tubing used with positive airway pressure device	<1%	62	60	$312.26
A7035	Headgear used with positive airway pressure device	<1%	36	36	$284.72
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	<1%	15	14	$282.74
A7031	Face mask interface, replacement for full face mask, each	<1%	12	12	$245.62

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 officialHOTALING, DEBRA (DIRECTOR)