Supplier
Pelham Community Pharmacy, INC
Pelham Community Pharmacy, INC was paid $102K by Medicaid between May 2021 and Feb 2024, across 8 billing codes. Its largest line is A4927, Gloves, non-sterile, per 100 — 75% of everything it billed.
33Billing provider infoPELHAM COMMUNITY PHARMACY, INC
WALTHAM, MA 02451
WALTHAM, MA 02451
33aNPI1598889172assigned 03/19/2007
33bProvider typePharmacy
28Total paid$102K
24GClaims22,012
24DCodes billed8
24AFirst – last monthMay 2021 – Feb 2024
Compared with peers
Next to other Pharmacy providers in Massachusetts
Rank by total paid#5 of 37
Median peer was paid$0.00
This provider vs. median0.0×
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 | 252 | $10K | |
| 2022 | 18,140 | $59K | |
| 2023 | 3,519 | $30K | |
| 2024incomplete | 101 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 75% | 2,095 | 2,061 | $77K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 20% | 6,125 | 1,152 | $20K |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 3.7% | 6,227 | 1,143 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.5% | 6,776 | 1,233 | $2K |
| G0008 | Administration of influenza virus vaccine | 0% | 180 | 180 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 438 | 118 | $0.00 |
| 90686 | 0% | 126 | 126 | $0.00 | |
| 90694 | 0% | 45 | 45 | $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 officialPATEL, BHUREN (OWNER)