Supplier
Heritage Pharmacy INC
Heritage Pharmacy INC was paid $175K by Medicaid between Oct 2018 and Feb 2019, across 18 billing codes. Its largest line is A4927, Gloves, non-sterile, per 100 — 15% of everything it billed.
33Billing provider infoHERITAGE PHARMACY INC
CARROLL, OH 43112
CARROLL, OH 43112
33aNPI1467564476assigned 08/31/2006
33bProvider typeCompounding Pharmacy
28Total paid$175K
24GClaims3,437
24DCodes billed18
24AFirst – last monthOct 2018 – Feb 2019
Compared with peers
Next to other Compounding Pharmacy providers in Ohio
Rank by total paid#4 of 7
Median peer was paid$175K
This provider vs. median1.0×
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 | 1,681 | $86K | |
| 2019 | 1,756 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 15% | 1,554 | 1,508 | $26K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 11% | 185 | 184 | $19K |
| T4541 | Incontinence product, disposable underpad, large, each | 10% | 467 | 458 | $18K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 9.1% | 143 | 138 | $16K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 8.5% | 141 | 134 | $15K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 6.6% | 122 | 114 | $11K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.4% | 122 | 120 | $11K |
| 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 | 5.6% | 54 | 53 | $10K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 5.6% | 237 | 227 | $10K |
| 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 | 5.1% | 57 | 53 | $9K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 4.0% | 65 | 61 | $7K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 4.0% | 29 | 29 | $7K |
6 more codes
| B9998 | Noc for enteral supplies | 3.2% | 70 | $6K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.8% | 28 | $5K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 1.5% | 25 | $3K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 39 | $2K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 87 | $1K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 12 | $89.60 |
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 officialHUNTER, SHELLEY (PRESIDENT)