Supplier
Sullivan's Pharmacy, INC
Sullivan's Pharmacy, INC was paid $10.06M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is B4150, Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 8.5% of everything it billed.
33Billing provider infoSULLIVAN'S PHARMACY, INC
ROSLINDALE, MA 02131
ROSLINDALE, MA 02131
33aNPI1427153626assigned 09/13/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$10.06M
24GClaims311,522
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts
Rank by total paid#17 of 297
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 | 43,256 | $1.45M | |
| 2019 | 50,411 | $1.44M | |
| 2020 | 44,884 | $1.48M | |
| 2021 | 38,433 | $1.44M | |
| 2022 | 34,893 | $1.20M | |
| 2023 | 43,899 | $1.51M | |
| 2024incomplete | 55,746 | $1.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 8.5% | 8,926 | 8,346 | $853K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 5.9% | 23,712 | 23,436 | $590K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 5.3% | 7,590 | 7,177 | $538K |
| T4541 | Incontinence product, disposable underpad, large, each | 5.3% | 16,073 | 14,299 | $531K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 4.6% | 7,087 | 6,740 | $462K |
| A4353 | Intermittent urinary catheter, with insertion supplies | 4.6% | 1,325 | 1,142 | $460K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 4.5% | 5,388 | 5,063 | $448K |
| K0001 | Standard wheelchair | 4.2% | 27,326 | 27,022 | $424K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 3.6% | 4,543 | 4,099 | $361K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 3.2% | 8,083 | 7,629 | $327K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 3.2% | 2,457 | 2,240 | $327K |
| A4670 | Automatic blood pressure monitor | 3.2% | 6,348 | 6,315 | $321K |
98 more codes
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 2.8% | 11,666 | $283K |
| 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 | 2.6% | 2,714 | $261K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.4% | 4,059 | $240K |
| A4927 | Gloves, non-sterile, per 100 | 2.4% | 14,958 | $237K |
| E0245 | Tub stool or bench | 2.2% | 5,788 | $217K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.1% | 2,943 | $215K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 2.1% | 2,241 | $207K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 1.7% | 1,855 | $170K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | 1.6% | 6,369 | $164K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 1.5% | 1,474 | $152K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | 1.4% | 2,109 | $142K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 1.3% | 1,094 | $127K |
| A4349 | Male external catheter, with or without adhesive, disposable, each | 1.1% | 2,544 | $112K |
| E0277 | Powered pressure-reducing air mattress | 1.1% | 1,009 | $110K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 3,327 | $99K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 550 | $93K |
| E0570 | Nebulizer, with compressor | <1% | 9,084 | $92K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | <1% | 759 | $83K |
| K0003 | Lightweight wheelchair | <1% | 3,319 | $79K |
| E0244 | Raised toilet seat | <1% | 1,641 | $77K |
| A6210 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 550 | $73K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 13,130 | $71K |
| K0007 | Extra heavy duty wheelchair | <1% | 1,385 | $63K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 1,161 | $58K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | <1% | 3,030 | $54K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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% | 444 | $51K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 5,766 | $48K |
| A4335 | Incontinence supply; miscellaneous | <1% | 6,296 | $48K |
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | <1% | 740 | $46K |
| A6260 | Wound cleansers, any type, any size | <1% | 2,963 | $45K |
| E0156 | Seat attachment, walker | <1% | 6,428 | $41K |
| K0004 | High strength, lightweight wheelchair | <1% | 1,590 | $41K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 1,848 | $40K |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 406 | $29K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 2,232 | $27K |
| K0006 | Heavy duty wheelchair | <1% | 751 | $26K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 10,621 | $26K |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | <1% | 4,131 | $25K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 11,620 | $22K |
| E0241 | Bath tub wall rail, each | <1% | 750 | $21K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 3,851 | $20K |
| A4649 | Surgical supply; miscellaneous | <1% | 1,638 | $19K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 397 | $18K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 2,023 | $18K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 455 | $18K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 362 | $17K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 2,233 | $17K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | <1% | 100 | $16K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 895 | $16K |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 2,797 | $16K |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 102 | $15K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 2,314 | $14K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | <1% | 2,095 | $14K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 476 | $14K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 703 | $13K |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | <1% | 1,478 | $13K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 155 | $13K |
| A4402 | Lubricant, per ounce | <1% | 2,003 | $11K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 614 | $10K |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | <1% | 1,834 | $10K |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | <1% | 442 | $9K |
| E1225 | Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each | <1% | 1,075 | $9K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 109 | $8K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 1,087 | $7K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 94 | $7K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 1,803 | $6K |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | <1% | 14 | $5K |
| E0168 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | <1% | 321 | $5K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 794 | $5K |
| 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% | 367 | $4K |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | <1% | 158 | $4K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 48 | $4K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 202 | $3K |
| E1031 | Rollabout chair, any and all types with casters 5" or greater | <1% | 213 | $3K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 34 | $3K |
| A4217 | Sterile water/saline, 500 ml | <1% | 380 | $3K |
| E0966 | Manual wheelchair accessory, headrest extension, each | <1% | 1,305 | $3K |
| A5131 | Appliance cleaner, incontinence and ostomy appliances, per 16 oz. | <1% | 165 | $2K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 193 | $2K |
| A4331 | Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each | <1% | 527 | $2K |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | <1% | 26 | $966.91 |
| E0184 | Dry pressure mattress | <1% | 26 | $965.78 |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 73 | $811.55 |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | <1% | 29 | $768.88 |
| A4245 | Alcohol wipes, per box | <1% | 366 | $722.36 |
| K0056 | Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair | <1% | 70 | $569.97 |
| A4663 | Blood pressure cuff only | <1% | 16 | $481.28 |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 53 | $434.97 |
| A4657 | Syringe, with or without needle, each | <1% | 44 | $419.80 |
| E0325 | Urinal; male, jug-type, any material | <1% | 30 | $340.06 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 274 | $322.63 |
| E0910 | Trapeze bars, a/k/a patient helper, attached to bed, with grab bar | <1% | 42 | $161.74 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 77 | $69.57 |
| 90662 | 0% | 88 | $0.00 | |
| 90674 | 0% | 43 | $0.00 | |
| 0134A | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 141 | $0.00 |
| 0064A | 0% | 31 | $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 officialROGERS, LISA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Mindful Therapy Studio LLC | Essex, CT | $125K |
| Great River Psychotherapy PLLC | Saint Paul, MN | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.