Supplier
Your Hometown Pharmacy INC
Your Hometown Pharmacy INC was paid $164.01 by Medicaid between Jan 2021 and Oct 2024, across 11 billing codes. Its largest line is 90694, — 47% of everything it billed.
33Billing provider infoYOUR HOMETOWN PHARMACY INC
LA VISTA, NE 68128
LA VISTA, NE 68128
33aNPI1548568769assigned 03/11/2011
33bProvider typeLong Term Care Pharmacy
28Total paid$164.01
24GClaims796
24DCodes billed11
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Nebraska
Rank by total paid#4 of 10
Median peer was paid$37.25
This provider vs. median4.4×
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 | 189 | $49.35 | |
| 2022 | 251 | $37.31 | |
| 2023 | 146 | $77.35 | |
| 2024incomplete | 210 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90694 | 47% | 55 | 55 | $77.35 | |
| 0011A | 30% | 80 | 72 | $49.41 | |
| 0001A | 23% | 50 | 50 | $37.25 | |
| G0008 | Administration of influenza virus vaccine | 0% | 126 | 126 | $0.00 |
| 91301 | 0% | 83 | 75 | $0.00 | |
| 90480 | 0% | 82 | 82 | $0.00 | |
| 91322 | 0% | 82 | 82 | $0.00 | |
| 90653 | 0% | 48 | 48 | $0.00 | |
| 91300 | 0% | 58 | 57 | $0.00 | |
| 0124A | 0% | 66 | 66 | $0.00 | |
| 91312 | 0% | 66 | 66 | $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 officialHALL, KODY (CEO/OWNER)