Cross LTC Pharmacy, LLC

Cross LTC Pharmacy, LLC was paid $22K by Medicaid between Jan 2018 and Mar 2019, across 3 billing codes. Its largest line is B4150, Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 100% of everything it billed.

Compared with peers

Next to other Long Term Care Pharmacy providers in Idaho

Rank by total paid#1 of 6

Median peer was paid$80.90

This provider vs. median277×

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	346	$18K
2019	48	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	100%	249	211	$22K
90686		0%	72	66	$0.00
G0008	Administration of influenza virus vaccine	0%	73	67	$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 officialBUFFAT, BLAKE (DIRECTOR OF PHARMACY)