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

Pharmacy Counter, LLC

Pharmacy Counter, LLC was paid $74K by Medicaid between Feb 2018 and Sep 2022, across 6 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 71% of everything it billed.

33Billing provider infoPHARMACY COUNTER, LLC
ADRIAN, MI 49221
33aNPI1306168083assigned 02/22/2010
28Total paid$74K
24GClaims2,283
24DCodes billed6
24AFirst – last monthFeb 2018 – Sep 2022
Compared with peers

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

Rank by total paid#153 of 290
Median peer was paid$97K
This provider vs. median0.8×

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$2.0K$4.0K2018201920202021202220232024
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
2018153$8K
2019501$20K
2020306$12K
2021578$16K
2022745$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 71% 998 993 $53K
E0570 Nebulizer, with compressor 11% 596 590 $9K
E0601 Continuous positive airway pressure (cpap) device 7.2% 114 110 $5K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 5.6% 386 386 $4K
K0001 Standard wheelchair 4.6% 164 164 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 25 24 $61.80

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 officialCROSS, MISSY (GENERAL MANAGER)
Parent organizationPROMEDICA PHYSICIANS GROUP, INC.
Same official

Other billing entities under CROSS, MISSY

Full network →
ProviderLocationPaid
Pharmacy Counter, LLCToledo, OH$19.71M
Pharmacy Counter, LLCToledo, OH$150K
Pharmacy Counter, LLCSylvania, OH$93K
Pharmacy Counter, LLCDefiance, OH$86K
Pharmacy Counter, LLCMonroe, MI$67K
Pharmacy Counter LLCSandusky, OH$43K
Pharmacy Counter, LLCMaumee, OH$25K
Pharmacy Counter LLCTiffin, OH$18K
Pharmacy Counter LLCWalbridge, OH$16K
Pharmacy Counter LLCFremont, OH$11K

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