Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Pharmacy Counter LLC

Pharmacy Counter LLC was paid $43K by Medicaid between May 2018 and Sep 2022, across 7 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 67% of everything it billed.

33Billing provider infoPHARMACY COUNTER LLC
SANDUSKY, OH 44870
33aNPI1518478106assigned 10/23/2017
28Total paid$43K
24GClaims2,024
24DCodes billed7
24AFirst – last monthMay 2018 – Sep 2022
Compared with peers

Next to other Oxygen Equipment & Supplies (DME) providers in Ohio

Rank by total paid#40 of 47
Median peer was paid$369K
This provider vs. median0.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201870$1K
2019242$5K
2020698$17K
2021484$10K
2022530$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 67% 864 830 $29K
E0601 Continuous positive airway pressure (cpap) device 19% 426 395 $8K
A4927 Gloves, non-sterile, per 100 3.9% 108 105 $2K
E0570 Nebulizer, with compressor 3.2% 376 365 $1K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 2.7% 143 131 $1K
E0250 Hospital bed, fixed height, with any type side rails, with mattress 2.0% 82 79 $865.27
T4541 Incontinence product, disposable underpad, large, each 1.9% 25 25 $810.60

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 officialCROSS, MISSY (GENERAL MANAGER)
Parent organizationPROMEDICA PHYSICIANS GROUP, INC.
Same official

Other billing entities under CROSS, MISSY

Full network →
ProviderLocationPaid
Pharmacy Counter, LLCToledo, OH$19.71M
Pharmacy Counter, LLCToledo, OH$150K
Pharmacy Counter, LLCSylvania, OH$93K
Pharmacy Counter, LLCDefiance, OH$86K
Pharmacy Counter, LLCAdrian, MI$74K
Pharmacy Counter, LLCMonroe, MI$67K
Pharmacy Counter, LLCMaumee, OH$25K
Pharmacy Counter LLCTiffin, OH$18K
Pharmacy Counter LLCWalbridge, OH$16K
Pharmacy Counter LLCFremont, OH$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.