Supplier
Hometown Pharmacy INC
Hometown Pharmacy INC was paid $796K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is L3670, Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf — 27% of everything it billed.
33Billing provider infoHOMETOWN PHARMACY INC
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
33aNPI1366430423assigned 10/12/2005
33bProvider typeCompounding Pharmacy
28Total paid$796K
24GClaims14,659
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
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 | 1,868 | $93K | |
| 2019 | 2,125 | $110K | |
| 2020 | 1,851 | $97K | |
| 2021 | 2,214 | $122K | |
| 2022 | 2,542 | $143K | |
| 2023 | 2,390 | $134K | |
| 2024incomplete | 1,669 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 27% | 3,320 | 3,301 | $214K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 18% | 4,921 | 4,908 | $145K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 16% | 930 | 924 | $129K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 14% | 1,610 | 1,604 | $108K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 10% | 1,891 | 1,814 | $82K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 10% | 1,554 | 1,551 | $81K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 1.7% | 289 | 288 | $14K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 1.5% | 80 | 80 | $12K |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 1.1% | 51 | 51 | $9K |
| L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 13 | 13 | $2K |
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 officialDESARMO, REBEKAH (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Hometown Pharmacy INC | New Era, MI | $429K |
| Hometown Happier at Home LLC | New Era, MI | $152K |
| Franklin Pharmacy INC | Rockford, MI | $50K |
| Franklin Pharmacy INC | Parchment, MI | $745.00 |
| Franklin Pharmacy INC | Pandora, OH | $314.48 |
| Hometown Pharmacy INC. | Mishawaka, IN | $0.00 |
| Hometown Pharmacy INC | Warsaw, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.