Supplier
Mountain Grove Pharmacy INC
Mountain Grove Pharmacy INC was paid $25K by Medicaid between May 2018 and Dec 2024, across 3 billing codes. Its largest line is 99605, — 86% of everything it billed.
33Billing provider infoMOUNTAIN GROVE PHARMACY INC
MOUNTAIN GROVE, MO 65711
MOUNTAIN GROVE, MO 65711
33aNPI1285645820assigned 08/10/2006
33bProvider typePharmacy
28Total paid$25K
24GClaims470
24DCodes billed3
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Missouri
Rank by total paid#11 of 42
Median peer was paid$9K
This provider vs. median2.7×
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
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 | 49 | $256.30 | |
| 2024incomplete | 421 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99605 | 86% | 328 | 299 | $21K | |
| 99606 | 13% | 93 | 79 | $3K | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.0% | 49 | 48 | $256.30 |
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 officialCOFFMAN, CHRISTINE (PIC)
| Provider | Location | Paid |
|---|---|---|
| Hometown Pharmacy Management LLC | Doniphan, MO | $28K |
| Family Pharmacy of Mountain Grove LLC | Mountain Grove, MO | $516.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.