Supplier
Kimberly Hometown Pharmacy LLC
Kimberly Hometown Pharmacy LLC was paid $457.92 by Medicaid between Jun 2021 and Jun 2021, across 2 billing codes. Its largest line is 0001A, — 100% of everything it billed.
33Billing provider infoKIMBERLY HOMETOWN PHARMACY LLC
APPLETON, WI 54915
APPLETON, WI 54915
33aNPI1295291045assigned 02/18/2019
33bProvider typeSpecialty Pharmacy
28Total paid$457.92
24GClaims34
24DCodes billed2
24AFirst – last monthJun 2021 – Jun 2021
Compared with peers
Next to other Specialty Pharmacy providers in Wisconsin
Rank by total paid#4 of 5
Median peer was paid$663.00
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 34 | $457.92 |
Box 24 · Service lines
What it billed for
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 officialDEANS, DIANE (CONTRACTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Hometown Long Term Care Pharmacy LLC | Sun Prairie, WI | $159K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.