Supplier
Long Life Pharmacy 2 LLC
Long Life Pharmacy 2 LLC was paid $67K by Medicaid between Apr 2021 and Dec 2024, across 11 billing codes. Its largest line is 99605, — 70% of everything it billed.
33Billing provider infoLONG LIFE PHARMACY 2 LLC
WEST ALLIS, WI 53214
WEST ALLIS, WI 53214
33aNPI1497355002assigned 11/01/2020
33bProvider typePharmacy
28Total paid$67K
24GClaims1,668
24DCodes billed11
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#13 of 98
Median peer was paid$4K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2021 | 257 | $3K | |
| 2022 | 50 | $2K | |
| 2023 | 12 | $410.85 | |
| 2024incomplete | 1,349 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99605 | 70% | 795 | 702 | $47K | |
| 90656 | 8.0% | 331 | 330 | $5K | |
| 0001A | 5.2% | 121 | 101 | $3K | |
| 91322 | 4.2% | 24 | 24 | $3K | |
| 99606 | 3.9% | 157 | 136 | $3K | |
| 90674 | 3.3% | 50 | 50 | $2K | |
| 91321 | 2.6% | 12 | 12 | $2K | |
| 90715 | 1.2% | 15 | 15 | $826.07 | |
| 90686 | <1% | 12 | 12 | $410.85 | |
| 90658 | <1% | 15 | 15 | $268.72 | |
| 91300 | 0% | 136 | 114 | $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 officialSARSOUR, MOATH (OWNER AND PHARMACIST)
| Provider | Location | Paid |
|---|---|---|
| Long Life Pharmacy LLC | Milwaukee, WI | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.