Passaic Community Pharmacy INC

Passaic Community Pharmacy INC was paid $949K by Medicaid between Apr 2020 and Nov 2024, across 23 billing codes. Its largest line is B4160, Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 — 24% of everything it billed.

Compared with peers

Next to other Community/Retail Pharmacy providers in New Jersey

Rank by total paid#2 of 123

Median peer was paid$40.00

This provider vs. median23,715×

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
2020	739	$30K
2021	2,856	$156K
2022	4,352	$256K
2023	4,701	$319K
2024incomplete	2,846	$188K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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	24%	1,172	1,103	$232K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	15%	1,019	979	$139K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	13%	896	830	$122K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	12%	1,228	1,123	$112K
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	7.8%	1,004	960	$74K
E0570	Nebulizer, with compressor	7.4%	1,880	1,782	$70K
T4541	Incontinence product, disposable underpad, large, each	7.3%	1,846	1,731	$69K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	6.7%	889	854	$64K
A4670	Automatic blood pressure monitor	3.4%	989	931	$32K
A4927	Gloves, non-sterile, per 100	1.5%	1,876	1,730	$14K
A4554	Disposable underpads, all sizes	<1%	332	311	$8K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	<1%	14	14	$4K

11 more codes

A7016	Dome and mouthpiece, used with small volume ultrasonic nebulizer	<1%	927	$3K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	<1%	26	$2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	<1%	12	$1K
A7015	Aerosol mask, used with dme nebulizer	<1%	745	$688.75
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	<1%	14	$642.60
E0605	Vaporizer, room type	<1%	12	$155.37
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	<1%	502	$14.85
G0008	Administration of influenza virus vaccine	0%	16	$0.00
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	0%	38	$0.00
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	0%	42	$0.00
90688		0%	15	$0.00

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 officialAWAD, OSAMA (OFFICER)