Supplier
Pharmacy Counter, LLC
Pharmacy Counter, LLC was paid $86K by Medicaid between Jan 2018 and Sep 2022, across 6 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 81% of everything it billed.
33Billing provider infoPHARMACY COUNTER, LLC
DEFIANCE, OH 43512
DEFIANCE, OH 43512
33aNPI1548582232assigned 02/22/2010
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$86K
24GClaims1,699
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Ohio
Rank by total paid#199 of 420
Median peer was paid$62K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 418 | $23K | |
| 2019 | 607 | $31K | |
| 2020 | 343 | $15K | |
| 2021 | 208 | $10K | |
| 2022 | 123 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 81% | 1,204 | 1,149 | $70K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 11% | 121 | 119 | $9K |
| E0570 | Nebulizer, with compressor | 6.9% | 183 | 178 | $6K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 163 | 157 | $460.47 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 14 | 13 | $410.23 |
| A7035 | Headgear used with positive airway pressure device | <1% | 14 | 13 | $368.49 |
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.
| Provider | Location | Paid |
|---|---|---|
| Pharmacy Counter, LLC | Toledo, OH | $19.71M |
| Pharmacy Counter, LLC | Toledo, OH | $150K |
| Pharmacy Counter, LLC | Sylvania, OH | $93K |
| Pharmacy Counter, LLC | Adrian, MI | $74K |
| Pharmacy Counter, LLC | Monroe, MI | $67K |
| Pharmacy Counter LLC | Sandusky, OH | $43K |
| Pharmacy Counter, LLC | Maumee, OH | $25K |
| Pharmacy Counter LLC | Tiffin, OH | $18K |
| Pharmacy Counter LLC | Walbridge, OH | $16K |
| Pharmacy Counter LLC | Fremont, OH | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.