Five Points Pharma

Five Points Pharma was paid $5K by Medicaid between Oct 2020 and Oct 2023, across 6 billing codes. Its largest line is 0031A, — 40% of everything it billed.

33Billing provider infoFIVE POINTS PHARMA
CONOVER, NC 28613

33aNPI1639535156assigned 01/13/2016

33bProvider typePharmacy

28Total paid$5K

24GClaims230

24DCodes billed6

24AFirst – last monthOct 2020 – Oct 2023

Compared with peers

Next to other Pharmacy providers in North Carolina

Rank by total paid#23 of 97

Median peer was paid$1K

This provider vs. median4.3×

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
2020	32	$481.71
2021	110	$3K
2022	35	$550.45
2023	53	$896.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0031A		40%	29	29	$2K
90686		23%	53	53	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	19%	67	67	$877.80
0013A		18%	26	13	$845.00
91303		0%	29	29	$0.00
91301		0%	26	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 officialCROSS, KELLY (PHARMACIST/OWNER)