Supplier
Custompp LLC
Custompp LLC was paid $0.00 by Medicaid between Oct 2018 and Nov 2024, across 10 billing codes. Its largest line is 90662, — 0% of everything it billed.
33Billing provider infoCUSTOMPP LLC
WEST LAFAYETTE, IN 47906
WEST LAFAYETTE, IN 47906
33aNPI1396011888assigned 03/28/2012
33bProvider typePharmacy
28Total paid$0.00
24GClaims1,678
24DCodes billed10
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Pharmacy providers in Indiana
Rank by total paid#12 of 54
Median peer was paid$0.00
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 | 142 | $0.00 | |
| 2019 | 97 | $0.00 | |
| 2020 | 701 | $0.00 | |
| 2021 | 44 | $0.00 | |
| 2022 | 210 | $0.00 | |
| 2023 | 197 | $0.00 | |
| 2024incomplete | 287 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90662 | 0% | 524 | 287 | $0.00 | |
| 0124A | 0% | 54 | 54 | $0.00 | |
| 91322 | 0% | 77 | 70 | $0.00 | |
| 91320 | 0% | 37 | 35 | $0.00 | |
| 90682 | 0% | 69 | 41 | $0.00 | |
| 0064A | 0% | 47 | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 624 | 353 | $0.00 |
| 90656 | 0% | 13 | 13 | $0.00 | |
| 90480 | 0% | 116 | 107 | $0.00 | |
| 90686 | 0% | 117 | 67 | $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 officialHUTERA, MATTHEW (OWNER)
| Provider | Location | Paid |
|---|---|---|
| MVPS LLC | Monte Vista, CO | $57K |
| Manps LLC | Manchester, KY | $11K |
| MVPS LLC | Monte Vista, CO | $2K |
| MCKPS LLC | Mc Kee, KY | $698.82 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.