Supplier
Jefferson Pharmacy INC
Jefferson Pharmacy INC was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is A4520, Incontinence garment, any type, (e.g., brief, diaper), each — 36% of everything it billed.
33Billing provider infoJEFFERSON PHARMACY INC
RANSON, WV 25438
RANSON, WV 25438
33aNPI1437159464assigned 08/01/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.09M
24GClaims49,388
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in West Virginia
Rank by total paid#17 of 144
Median peer was paid$2K
This provider vs. median1,180×
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 | 3,521 | $149K | |
| 2019 | 2,234 | $97K | |
| 2020 | 6,180 | $262K | |
| 2021 | 7,491 | $304K | |
| 2022 | 9,660 | $409K | |
| 2023 | 11,090 | $473K | |
| 2024incomplete | 9,212 | $392K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 36% | 6,664 | 5,796 | $755K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 28% | 9,728 | 8,804 | $577K |
| E0601 | Continuous positive airway pressure (cpap) device | 12% | 5,994 | 5,164 | $243K |
| A7030 | Full face mask used with positive airway pressure device, each | 4.4% | 1,172 | 1,086 | $91K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.9% | 4,255 | 3,807 | $60K |
| E0570 | Nebulizer, with compressor | 2.7% | 2,656 | 2,367 | $56K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.3% | 585 | 544 | $47K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.0% | 1,723 | 1,569 | $41K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.8% | 1,083 | 993 | $37K |
| A4554 | Disposable underpads, all sizes | 1.7% | 2,283 | 2,008 | $35K |
| A7035 | Headgear used with positive airway pressure device | 1.6% | 1,726 | 1,606 | $33K |
| A7037 | Tubing used with positive airway pressure device | 1.3% | 1,563 | 1,438 | $28K |
13 more codes
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 559 | $18K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,215 | $14K |
| K0001 | Standard wheelchair | <1% | 932 | $13K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 164 | $8K |
| E1392 | Portable oxygen concentrator, rental | <1% | 1,529 | $6K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 484 | $6K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 974 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,851 | $5K |
| 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) | <1% | 43 | $3K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | <1% | 14 | $2K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 68 | $552.71 |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 25 | $363.29 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 98 | $108.58 |
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 officialBOYD, SCOTT (PRES)