Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Pharmacy Counter, LLC

Pharmacy Counter, LLC was paid $150K by Medicaid between Jan 2018 and Mar 2021, across 11 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 39% of everything it billed.

33Billing provider infoPHARMACY COUNTER, LLC
TOLEDO, OH 43614
33aNPI1205166154assigned 12/28/2009
28Total paid$150K
24GClaims3,911
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Ohio

Rank by total paid#181 of 420
Median peer was paid$62K
This provider vs. median2.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,081$41K
20191,370$54K
20201,260$46K
2021200$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E0601 Continuous positive airway pressure (cpap) device 39% 1,015 981 $59K
E0570 Nebulizer, with compressor 33% 1,395 1,335 $49K
A4670 Automatic blood pressure monitor 16% 547 534 $24K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 5.5% 492 487 $8K
K0001 Standard wheelchair 2.9% 137 134 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 2.7% 112 82 $4K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 12 12 $480.04
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 161 161 $318.16
A7035 Headgear used with positive airway pressure device <1% 14 12 $269.70
A7038 Filter, disposable, used with positive airway pressure device <1% 14 12 $57.79
A7015 Aerosol mask, used with dme nebulizer <1% 12 12 $18.19

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 officialCROSS, MISSY (GENERAL MANAGER)
Parent organizationPROMEDICA PHYSICIANS GROUP, INC.
Same official

Other billing entities under CROSS, MISSY

Full network →
ProviderLocationPaid
Pharmacy Counter, LLCToledo, OH$19.71M
Pharmacy Counter, LLCSylvania, OH$93K
Pharmacy Counter, LLCDefiance, OH$86K
Pharmacy Counter, LLCAdrian, MI$74K
Pharmacy Counter, LLCMonroe, MI$67K
Pharmacy Counter LLCSandusky, OH$43K
Pharmacy Counter, LLCMaumee, OH$25K
Pharmacy Counter LLCTiffin, OH$18K
Pharmacy Counter LLCWalbridge, OH$16K
Pharmacy Counter LLCFremont, OH$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.