Supplier
Jollys Pharmacy INC
Jollys Pharmacy INC was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 100% of everything it billed.
33Billing provider infoJOLLYS PHARMACY INC
RENTON, WA 98057
RENTON, WA 98057
33aNPI1235388430assigned 09/11/2008
33bProvider typeLong Term Care Pharmacy
28Total paid$2.96M
24GClaims387,330
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Washington
Rank by total paid#1 of 12
Median peer was paid$1K
This provider vs. median2,007×
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 | 20,781 | $178K | |
| 2019 | 42,979 | $280K | |
| 2020 | 61,651 | $417K | |
| 2021 | 55,938 | $472K | |
| 2022 | 64,357 | $527K | |
| 2023 | 70,844 | $465K | |
| 2024incomplete | 70,780 | $626K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 100% | 379,494 | 334,038 | $2.96M |
| A4259 | Lancets, per box of 100 | 0% | 1,936 | 1,899 | $0.00 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 0% | 5,292 | 5,054 | $0.00 |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 0% | 530 | 521 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 62 | 50 | $0.00 |
| E0607 | Home blood glucose monitor | 0% | 16 | 16 | $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 officialJOLLY, ANDERSON (OWNER)