Northeast LA Pharmacy
Northeast LA Pharmacy was paid $148K by Medicaid between Jan 2018 and Sep 2023, across 16 billing codes. Its largest line is B4160, Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 28% of everything it billed.
SHREVEPORT, LA 71105
Next to other Long Term Care Pharmacy providers in Louisiana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,858 | $138K | |
| 2019 | 416 | $7K | |
| 2020 | 209 | $2K | |
| 2021 | 694 | $497.01 | |
| 2022 | 623 | $0.00 | |
| 2023 | 216 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 28% | 251 | 191 | $42K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 21% | 289 | 168 | $31K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 21% | 77 | 43 | $31K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 12% | 1,195 | 362 | $17K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.8% | 170 | 70 | $9K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.8% | 121 | 85 | $6K |
| B9002 | Enteral nutrition infusion pump, any type | 3.3% | 101 | 70 | $5K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 2.9% | 60 | 41 | $4K |
| B9998 | Noc for enteral supplies | 2.0% | 101 | 82 | $3K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 44 | 12 | $425.50 |
| E0776 | Iv pole | <1% | 100 | 69 | $384.00 |
| 0064A | 0% | 268 | 268 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Healthcare Pharmacy LLC | Shreveport, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.