Supplier
Pine Brook Pharmacy LLC
Pine Brook Pharmacy LLC was paid $118.88 by Medicaid between Mar 2021 and Oct 2023, across 8 billing codes. Its largest line is 0012A, — 65% of everything it billed.
33Billing provider infoPINE BROOK PHARMACY LLC
BROOKSVILLE, FL 34613
BROOKSVILLE, FL 34613
33aNPI1558596932assigned 05/28/2009
33bProvider typeLong Term Care Pharmacy
28Total paid$118.88
24GClaims739
24DCodes billed8
24AFirst – last monthMar 2021 – Oct 2023
Compared with peers
Next to other Long Term Care Pharmacy providers in Florida
Rank by total paid#8 of 17
Median peer was paid$112.30
This provider vs. median1.1×
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
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 | 569 | $118.88 | |
| 2022 | 16 | $0.00 | |
| 2023 | 154 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 65% | 218 | 203 | $77.76 | |
| 0011A | 35% | 222 | 206 | $41.12 | |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 75 | 53 | $0.00 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 16 | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | 19 | $0.00 |
| 90480 | 0% | 48 | 27 | $0.00 | |
| 0013A | 0% | 86 | 86 | $0.00 | |
| 91322 | 0% | 50 | 29 | $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 officialTHAKKAR, HEENA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Peekaboo Pediatrics | Houston, TX | $6.21M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.