Supplier
Faithful Pharmacy INC
Faithful Pharmacy INC was paid $3K by Medicaid between Sep 2021 and Nov 2024, across 17 billing codes. Its largest line is G0108, Diabetes outpatient self-management training services, individual, per 30 minutes — 70% of everything it billed.
33Billing provider infoFAITHFUL PHARMACY INC
EDISON, NJ 08817
EDISON, NJ 08817
33aNPI1184787707assigned 12/18/2006
33bProvider typePharmacy
28Total paid$3K
24GClaims3,470
24DCodes billed17
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Pharmacy providers in New Jersey
Rank by total paid#11 of 57
Median peer was paid$96.00
This provider vs. median31×
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 | |
|---|---|---|---|
| 2021 | 182 | $160.00 | |
| 2022 | 620 | $0.00 | |
| 2023 | 1,410 | $286.69 | |
| 2024incomplete | 1,258 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 70% | 327 | 254 | $2K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 14% | 330 | 292 | $426.59 |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 6.7% | 1,150 | 280 | $201.95 |
| 0004A | 4.0% | 150 | 147 | $120.00 | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 2.2% | 182 | 86 | $66.60 |
| 0064A | 1.3% | 65 | 65 | $40.00 | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 1.2% | 116 | 54 | $37.30 |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 125 | 122 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 168 | 157 | $0.00 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 39 | 38 | $0.00 |
| 90694 | 0% | 89 | 79 | $0.00 | |
| 0134A | 0% | 48 | 43 | $0.00 |
5 more codes
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 officialGUO, JINYIR (PHARMACIST)