Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Marion › NPI 1568572774
Supplier

PRN Pharmacies LTD

PRN Pharmacies LTD was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 25 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 — 46% of everything it billed.

33Billing provider infoPRN PHARMACIES LTD
MARION, IL 62959
33aNPI1568572774assigned 08/30/2006
33bProvider typeLong Term Care Pharmacy
28Total paid$1.25M
24GClaims31,274
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Long Term Care Pharmacy providers in Illinois

Rank by total paid#2 of 7
Median peer was paid$68K
This provider vs. median18×

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$20K$40K2018201920202021202220232024
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
2018741$18K
20191,435$41K
20203,316$96K
20214,719$185K
20226,546$286K
20237,758$332K
2024incomplete6,759$290K
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 46% 8,469 7,950 $576K
E0601 Continuous positive airway pressure (cpap) device 15% 3,462 3,250 $182K
E1392 Portable oxygen concentrator, rental 5.9% 4,230 3,894 $74K
E0562 Humidifier, heated, used with positive airway pressure device 5.6% 3,856 3,619 $70K
A7030 Full face mask used with positive airway pressure device, each 5.0% 814 780 $62K
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 4.9% 2,672 2,532 $61K
T4541 Incontinence product, disposable underpad, large, each 4.5% 868 831 $57K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 3.6% 1,270 1,215 $44K
E0570 Nebulizer, with compressor 1.5% 525 505 $19K
A7035 Headgear used with positive airway pressure device 1.3% 874 830 $17K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.0% 104 103 $13K
A7037 Tubing used with positive airway pressure device <1% 511 492 $10K
13 more codes
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 208 $9K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 68 $9K
A7038 Filter, disposable, used with positive airway pressure device <1% 1,686 $9K
A7031 Face mask interface, replacement for full face mask, each <1% 285 $8K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 302 $7K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 99 $6K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 373 $4K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 311 $3K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 180 $3K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 14 $2K
K0001 Standard wheelchair <1% 25 $1K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 13 $877.73
A4927 Gloves, non-sterile, per 100 <1% 55 $775.11

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 officialLEDBETTER, BRAD (VICE PRESIDENT)
Same official

Other billing entities under LEDBETTER, BRAD

Full network →
ProviderLocationPaid
PRN Pharmacies LTDHarrisburg, IL$2.20M
PRN Pharmacies LTDHarrisburg, IL$438K

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