Supplier
Premier Pharmacy INC
Premier Pharmacy INC was paid $66.50 by Medicaid between Oct 2018 and Oct 2018, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.
33Billing provider infoPREMIER PHARMACY INC
NEWLAND, NC 28657
NEWLAND, NC 28657
33aNPI1437456084assigned 02/17/2011
33bProvider typePharmacy
28Total paid$66.50
24GClaims28
24DCodes billed2
24AFirst – last monthOct 2018 – Oct 2018
Compared with peers
Next to other Pharmacy providers in North Carolina
Rank by total paid#75 of 97
Median peer was paid$1K
This provider vs. median0.1×
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 | 28 | $66.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100% | 14 | 12 | $66.50 |
| 90686 | 0% | 14 | 12 | $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 officialDEAN, CLARENCE (PRESIDENT)