Dyer Station Pharmacy, LLC

Dyer Station Pharmacy, LLC was paid $474.20 by Medicaid between Jan 2018 and May 2022, across 1 billing code. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.

33Billing provider infoDYER STATION PHARMACY, LLC
DYER, TN 38330

33aNPI1376526517assigned 11/22/2005

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$474.20

24GClaims499

24DCodes billed1

24AFirst – last monthJan 2018 – May 2022

Compared with peers

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

Rank by total paid#200 of 296

Median peer was paid$15K

This provider vs. median0.0×

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	186	$231.90
2019	139	$77.37
2020	103	$33.49
2021	59	$114.33
2022	12	$17.11

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	100%	499	477	$474.20

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 officialHOLYFIELD, DEREK (MANAGING PARTNER)