Supplier
MT Vernon Community Pharmacy INC
MT Vernon Community Pharmacy INC was paid $1.00M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 37% of everything it billed.
33Billing provider infoMT VERNON COMMUNITY PHARMACY INC
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1417923012assigned 02/24/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$1.00M
24GClaims22,675
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Illinois
Rank by total paid#1 of 11
Median peer was paid$2K
This provider vs. median436×
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 | 2,135 | $75K | |
| 2019 | 3,134 | $144K | |
| 2020 | 3,668 | $153K | |
| 2021 | 3,951 | $205K | |
| 2022 | 3,732 | $172K | |
| 2023 | 4,022 | $173K | |
| 2024incomplete | 2,033 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 37% | 3,861 | 3,586 | $374K |
| E0601 | Continuous positive airway pressure (cpap) device | 17% | 3,252 | 2,928 | $174K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 14% | 1,114 | 1,091 | $136K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 7.2% | 3,754 | 3,391 | $73K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.9% | 571 | 505 | $60K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.2% | 2,220 | 2,101 | $32K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.0% | 982 | 900 | $30K |
| A7035 | Headgear used with positive airway pressure device | 2.3% | 1,051 | 966 | $23K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 2.1% | 135 | 125 | $21K |
| E0570 | Nebulizer, with compressor | 1.9% | 234 | 207 | $19K |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | 1.5% | 849 | 514 | $15K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 116 | 103 | $8K |
11 more codes
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,366 | $8K |
| K0825 | Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds | <1% | 13 | $8K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 518 | $6K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 76 | $5K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 1,439 | $4K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 762 | $3K |
| A4670 | Automatic blood pressure monitor | <1% | 30 | $2K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 14 | $391.67 |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 34 | $326.65 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 140 | $188.95 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 144 | $110.73 |
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 officialBLACK, ERIC (OWNER)