Supplier
Nebraska LTC Pharmacy
Nebraska LTC Pharmacy was paid $1K by Medicaid between Nov 2019 and Oct 2022, across 5 billing codes. Its largest line is T4523, Adult sized disposable incontinence product, brief/diaper, large, each — 93% of everything it billed.
33Billing provider infoNEBRASKA LTC PHARMACY
LINCOLN, NE 68516
LINCOLN, NE 68516
33aNPI1467746768assigned 06/03/2011
33bProvider typePharmacy
28Total paid$1K
24GClaims113
24DCodes billed5
24AFirst – last monthNov 2019 – Oct 2022
Compared with peers
Next to other Pharmacy providers in Nebraska
Rank by total paid#6 of 13
Median peer was paid$19.94
This provider vs. median71×
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 | |
|---|---|---|---|
| 2019 | 12 | $1K | |
| 2021 | 51 | $103.67 | |
| 2022 | 50 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 93% | 12 | 12 | $1K |
| 90694 | 4.7% | 19 | 19 | $66.42 | |
| 0004A | 2.6% | 12 | 12 | $37.25 | |
| G0008 | Administration of influenza virus vaccine | 0% | 48 | 48 | $0.00 |
| 90662 | 0% | 22 | 22 | $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 officialHAMMERSCHMIDT, SHANNON (PHARMACIST IN CHARGE)