Supplier
Wilson Pharmacy INC
Wilson Pharmacy INC was paid $1.26M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is E0603, Breast pump, electric (ac and/or dc), any type — 44% of everything it billed.
33Billing provider infoWILSON PHARMACY INC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1407867070assigned 08/10/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.26M
24GClaims32,684
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee
Rank by total paid#50 of 296
Median peer was paid$15K
This provider vs. median82×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more
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 | 6,294 | $223K | |
| 2019 | 6,196 | $243K | |
| 2020 | 7,407 | $250K | |
| 2021 | 7,574 | $269K | |
| 2022 | 3,119 | $123K | |
| 2023 | 1,028 | $70K | |
| 2024incomplete | 1,066 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0603 | Breast pump, electric (ac and/or dc), any type | 44% | 3,143 | 2,172 | $562K |
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 39% | 21,373 | 1,315 | $489K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 7.6% | 3,732 | 273 | $96K |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 6.3% | 3,321 | 155 | $79K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1.4% | 307 | 51 | $17K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 66 | 26 | $5K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 91 | 39 | $3K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 76 | 36 | $3K |
| 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 | <1% | 205 | 75 | $2K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 114 | 53 | $2K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 109 | 52 | $2K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 133 | 53 | $1K |
1 more codes
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 14 | $175.06 |
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 officialHILTON, SHANE (EVP/CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.