Supplier
Hometown LTC Pharmacy INC
Hometown LTC Pharmacy INC was paid $139K by Medicaid between Nov 2018 and Sep 2024, across 11 billing codes. Its largest line is T4541, Incontinence product, disposable underpad, large, each — 49% of everything it billed.
33Billing provider infoHOMETOWN LTC PHARMACY INC
SANTA MARIA, CA 93455
SANTA MARIA, CA 93455
33aNPI1598108847assigned 04/16/2013
28Total paid$139K
24GClaims2,330
24DCodes billed11
24AFirst – last monthNov 2018 – Sep 2024
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 | 86 | $6K | |
| 2019 | 345 | $17K | |
| 2020 | 417 | $21K | |
| 2021 | 213 | $9K | |
| 2022 | 506 | $33K | |
| 2023 | 506 | $37K | |
| 2024incomplete | 257 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 49% | 1,403 | 1,357 | $68K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 25% | 398 | 395 | $35K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 12% | 232 | 230 | $16K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 5.8% | 92 | 90 | $8K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 3.9% | 70 | 70 | $5K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2.0% | 41 | 39 | $3K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 1.6% | 26 | 25 | $2K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 15 | 14 | $811.08 |
| 90662 | 0% | 13 | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | 27 | $0.00 |
| 90674 | 0% | 13 | 13 | $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 officialABRAHAM, JOSEPH (PRESIDENT)