Supplier
Guardian Pharmacy of TN One
Guardian Pharmacy of TN One was paid $15K by Medicaid between Oct 2018 and Oct 2024, across 7 billing codes. Its largest line is 99601, — 97% of everything it billed.
33Billing provider infoGUARDIAN PHARMACY OF TN ONE
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1215262670assigned 10/02/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$15K
24GClaims371
24DCodes billed7
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee
Rank by total paid#149 of 296
Median peer was paid$15K
This provider vs. median1.0×
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 | 35 | $0.00 | |
| 2019 | 120 | $8K | |
| 2020 | 143 | $7K | |
| 2021 | 19 | $0.00 | |
| 2022 | 13 | $0.00 | |
| 2023 | 29 | $0.00 | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99601 | 97% | 206 | 105 | $15K | |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.9% | 22 | 12 | $446.74 |
| 0134A | 0% | 17 | 17 | $0.00 | |
| 90674 | 0% | 49 | 47 | $0.00 | |
| 90686 | 0% | 33 | 33 | $0.00 | |
| 0064A | 0% | 32 | 32 | $0.00 | |
| 90694 | 0% | 12 | 12 | $0.00 |
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 officialSPIVEY, RUSS (PHARMACIST IN CHARGE)