Supplier
Wyatt's RX LLC
Wyatt's RX LLC was paid $81K by Medicaid between Jan 2018 and Mar 2018, across 3 billing codes. Its largest line is E0603, Breast pump, electric (ac and/or dc), any type — 57% of everything it billed.
33Billing provider infoWYATT'S RX LLC
LITHIA SPRINGS, GA 30122
LITHIA SPRINGS, GA 30122
33aNPI1649215229assigned 06/18/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$81K
24GClaims510
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2018
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 | 510 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0603 | Breast pump, electric (ac and/or dc), any type | 57% | 329 | 327 | $46K |
| L0627 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 41% | 167 | 165 | $33K |
| L0622 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated | 2.2% | 14 | 14 | $2K |
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 officialJOINES, SWETA (OWNER)