Rider Pharmacy INC

Rider Pharmacy INC was paid $85K by Medicaid between Jan 2018 and Dec 2019, across 3 billing codes. Its largest line is A4520, Incontinence garment, any type, (e.g., brief, diaper), each — 98% of everything it billed.

33Billing provider infoRIDER PHARMACY INC
FAIRMONT, WV 26554

33aNPI1467459545assigned 07/05/2005

33bProvider typeCommunity/Retail Pharmacy

28Total paid$85K

24GClaims749

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Community/Retail Pharmacy providers in West Virginia

Rank by total paid#1 of 22

Median peer was paid$122.01

This provider vs. median698×

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	404	$48K
2019	345	$37K

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	98%	696	648	$84K
E0570	Nebulizer, with compressor	1.5%	41	41	$1K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	<1%	12	12	$53.24

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 officialRIDER, JONATHAN (OWNER)