Procare Pharmacy, L.L.C.
Procare Pharmacy, L.L.C. was paid $41.83M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is J3590, Unclassified biologics — 65% of everything it billed.
HONOLULU, HI 96819
Next to other Community/Retail Pharmacy providers in Hawaii
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,019 | $7.80M | |
| 2019 | 2,508 | $4.61M | |
| 2020 | 2,022 | $3.60M | |
| 2021 | 2,110 | $4.40M | |
| 2022 | 2,140 | $5.36M | |
| 2023 | 2,391 | $7.43M | |
| 2024incomplete | 2,211 | $8.63M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3590 | Unclassified biologics | 65% | 6,223 | 5,571 | $27.39M |
| J3490 | Unclassified drugs | 21% | 4,078 | 3,807 | $8.61M |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 6.8% | 3,064 | 2,993 | $2.85M |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 5.3% | 2,321 | 2,275 | $2.22M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.4% | 591 | 554 | $591K |
| 90782 | <1% | 38 | 27 | $103K | |
| J7296 | Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg | <1% | 45 | 43 | $40K |
| J3031 | Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) | <1% | 41 | 39 | $25K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Procare Pharmacy Direct, LLC. | Monroeville, PA | $227.31M |
| Caremark, L.L.C. | Mt Prospect, IL | $34.08M |
| Caremark, L.L.C. | Redlands, CA | $19.87M |
| Caremark, L.L.C. | Tampa, FL | $7.28M |
| Caremark, L.L.C. | Fairfield, NJ | $3.43M |
| Caremark L.L.C. | Raleigh, NC | $2.69M |
| Caremark L.L.C. | Lenexa, KS | $2.54M |
| Caremark, L.L.C. | Milford, MA | $2.20M |
| Caremark, L.L.C. | Bartlett, TN | $1.96M |
| Procare Pharmacy, LLC. | Birmingham, AL | $623K |
| Procare Pharmacy, L.L.C. | Portland, ME | $109K |
| Procare Pharmacy LLC | Boston, MA | $724.47 |
| Caremark, LLC | Mt. Prospec, IL | $76.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.