Supplier
MT Vernon Pharmacy at Fallsway INC
MT Vernon Pharmacy at Fallsway INC was paid $5K by Medicaid between Dec 2018 and Nov 2024, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 98% of everything it billed.
33Billing provider infoMT VERNON PHARMACY AT FALLSWAY INC
BALTIMORE, MD 21202
BALTIMORE, MD 21202
33aNPI1417264458assigned 09/13/2010
33bProvider typeSpecialty Pharmacy
28Total paid$5K
24GClaims1,283
24DCodes billed2
24AFirst – last monthDec 2018 – Nov 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 | 33 | $113.67 | |
| 2019 | 365 | $782.33 | |
| 2020 | 148 | $649.32 | |
| 2021 | 165 | $793.69 | |
| 2022 | 340 | $1K | |
| 2023 | 206 | $1K | |
| 2024incomplete | 26 | $222.93 |
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 | 98% | 1,104 | 988 | $5K |
| A4259 | Lancets, per box of 100 | 2.3% | 179 | 160 | $115.88 |
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 officialWIENNER, STEPHEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Wienner INC | Baltimore, MD | $58.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.