Supplier
Manchester RX LLC
Manchester RX LLC was paid $885K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 19% of everything it billed.
33Billing provider infoMANCHESTER RX LLC
MANCHESTER, CT 06040
MANCHESTER, CT 06040
33aNPI1174958953assigned 09/11/2013
33bProvider typeCommunity/Retail Pharmacy
28Total paid$885K
24GClaims16,613
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Connecticut
Rank by total paid#3 of 125
Median peer was paid$33K
This provider vs. median27×
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 | 3,150 | $166K | |
| 2019 | 2,873 | $155K | |
| 2020 | 2,844 | $146K | |
| 2021 | 2,187 | $120K | |
| 2022 | 2,050 | $107K | |
| 2023 | 1,936 | $102K | |
| 2024incomplete | 1,573 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 19% | 1,776 | 1,671 | $170K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 18% | 1,506 | 1,410 | $160K |
| T4541 | Incontinence product, disposable underpad, large, each | 14% | 2,498 | 2,424 | $126K |
| A4670 | Automatic blood pressure monitor | 11% | 1,700 | 1,631 | $100K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 8.7% | 1,522 | 1,462 | $77K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 8.3% | 909 | 859 | $74K |
| E0570 | Nebulizer, with compressor | 6.5% | 1,687 | 1,655 | $57K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 6.2% | 1,803 | 1,750 | $55K |
| A4927 | Gloves, non-sterile, per 100 | 4.2% | 2,217 | 2,030 | $37K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2.0% | 205 | 199 | $18K |
| A4259 | Lancets, per box of 100 | <1% | 608 | 595 | $4K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 26 | 25 | $2K |
6 more codes
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 31 | $2K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 54 | $2K |
| E0245 | Tub stool or bench | <1% | 12 | $900.00 |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 31 | $399.67 |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 12 | $240.60 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 16 | $25.60 |
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 officialANNAMANENI, SATYANARAYANA (DIRECTOR)