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

Wellspan Pharmacy, INC.

Wellspan Pharmacy, INC. was paid $306K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 54% of everything it billed.

33Billing provider infoWELLSPAN PHARMACY, INC.
YORK, PA 17402
33aNPI1275684516assigned 01/15/2007
28Total paid$306K
24GClaims2,722
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

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

Rank by total paid#122 of 279
Median peer was paid$181K
This provider vs. median1.7×

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$10K$20K$30K2018201920202021202220232024
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
2018327$6K
2019243$5K
2021376$64K
2022492$74K
20231,006$112K
2024incomplete278$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 54% 1,344 617 $166K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 29% 408 126 $89K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 5.0% 80 76 $15K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.5% 121 68 $11K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 3.4% 93 26 $10K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 2.2% 401 160 $7K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.4% 95 77 $4K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 126 69 $2K
B9002 Enteral nutrition infusion pump, any type <1% 38 37 $765.25
A5120 Skin barrier, wipes or swabs, each <1% 16 16 $589.60

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 officialCHARNETSKI, KEVIN (SENIOR PHARMACY MANAGER)
Same official

Other billing entities under CHARNETSKI, KEVIN

Full network →
ProviderLocationPaid
Wellspan Pharmacy, INCYork, PA$282K

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