Supplier
Jac Stores INC
Jac Stores INC was paid $53.50 by Medicaid between Jan 2018 and Feb 2018, across 1 billing code. Its largest line is A7003, Administration set, with small volume nonfiltered pneumatic nebulizer, disposable — 100% of everything it billed.
33Billing provider infoJAC STORES INC
ROBINSON, IL 62454
ROBINSON, IL 62454
33aNPI1285645788assigned 08/10/2006
33bProvider typePharmacy
28Total paid$53.50
24GClaims25
24DCodes billed1
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Pharmacy providers in Illinois
Rank by total paid#7 of 10
Median peer was paid$2K
This provider vs. median0.0×
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 | 25 | $53.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 100% | 25 | 25 | $53.50 |
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 officialFALK, DAVID (PRESIDENT & OWNER)
| Provider | Location | Paid |
|---|---|---|
| Falk Prosthetics & Orthotics, INC. | Delray Beach, FL | $1.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.