Supplier
Lotus LTC Pharmacy LLC
Lotus LTC Pharmacy LLC was paid $489.99 by Medicaid between Oct 2023 and Nov 2023, across 4 billing codes. Its largest line is 91320, — 52% of everything it billed.
33Billing provider infoLOTUS LTC PHARMACY LLC
PLYMOUTH, MN 55442
PLYMOUTH, MN 55442
33aNPI1629613005assigned 11/09/2019
33bProvider typeLong Term Care Pharmacy
28Total paid$489.99
24GClaims167
24DCodes billed4
24AFirst – last monthOct 2023 – Nov 2023
Compared with peers
Next to other Long Term Care Pharmacy providers in Minnesota
Rank by total paid#19 of 28
Median peer was paid$3K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 167 | $489.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91320 | 52% | 41 | 41 | $254.16 | |
| 90480 | 48% | 43 | 43 | $235.83 | |
| 90686 | 0% | 33 | 33 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 50 | 50 | $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 officialLYTWYN, JILL (CEO)