Supplier
Trinity Valley Pharmacy, LLC
Trinity Valley Pharmacy, LLC was paid $30K by Medicaid between Jan 2018 and Mar 2019, across 6 billing codes. Its largest line is A4927, Gloves, non-sterile, per 100 — 27% of everything it billed.
33Billing provider infoTRINITY VALLEY PHARMACY, LLC
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1639180201assigned 08/10/2006
33bProvider typePharmacy
28Total paid$30K
24GClaims1,085
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pharmacy providers in Oregon
Rank by total paid#2 of 22
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 | |
|---|---|---|---|
| 2018 | 958 | $28K | |
| 2019 | 127 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 27% | 473 | 435 | $8K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 23% | 135 | 130 | $7K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 18% | 58 | 56 | $5K |
| T4541 | Incontinence product, disposable underpad, large, each | 15% | 232 | 210 | $4K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 14% | 47 | 42 | $4K |
| 99606 | 3.2% | 140 | 85 | $950.00 |
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 officialFREE, CLARISSA (OWNER)