Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Professional Care Pharmacy, LLC

Professional Care Pharmacy, LLC was paid $1.70M by Medicaid between Jan 2018 and Oct 2020, across 36 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 — 21% of everything it billed.

33Billing provider infoPROFESSIONAL CARE PHARMACY, LLC
MONROE, LA 71201
33aNPI1669521316assigned 01/10/2007
28Total paid$1.70M
24GClaims30,823
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Louisiana

Rank by total paid#30 of 321
Median peer was paid$122.58
This provider vs. median13,905×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20189,571$582K
201911,335$613K
20209,917$510K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 1,788 1,378 $359K
E0601 Continuous positive airway pressure (cpap) device 14% 2,693 2,526 $240K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 12% 2,114 1,904 $205K
A7030 Full face mask used with positive airway pressure device, each 8.3% 1,494 1,388 $141K
B9998 Noc for enteral supplies 8.3% 1,107 927 $141K
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 3.5% 1,179 1,011 $59K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.4% 964 840 $57K
E0562 Humidifier, heated, used with positive airway pressure device 3.4% 716 669 $57K
A7031 Face mask interface, replacement for full face mask, each 3.2% 1,534 1,393 $55K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 2.9% 198 186 $50K
A7037 Tubing used with positive airway pressure device 2.6% 1,937 1,808 $44K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.6% 741 621 $44K
24 more codes
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.9% 486 $32K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1.8% 415 $30K
E0570 Nebulizer, with compressor 1.7% 997 $29K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1.6% 1,174 $27K
A7035 Headgear used with positive airway pressure device 1.5% 1,182 $25K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 1.2% 326 $21K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 385 $14K
A7038 Filter, disposable, used with positive airway pressure device <1% 1,960 $11K
A7039 Filter, non disposable, used with positive airway pressure device <1% 1,174 $9K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 454 $7K
A7000 Canister, disposable, used with suction pump, each <1% 818 $6K
K0001 Standard wheelchair <1% 423 $5K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 35 $5K
A7002 Tubing, used with suction pump, each <1% 821 $4K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code <1% 946 $4K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 773 $4K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 129 $4K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 876 $4K
A4629 Tracheostomy care kit for established tracheostomy <1% 63 $3K
A4450 Tape, non-waterproof, per 18 square inches <1% 194 $2K
B9002 Enteral nutrition infusion pump, any type <1% 78 $2K
A7015 Aerosol mask, used with dme nebulizer <1% 556 $1K
A7526 Tracheostomy tube collar/holder, each <1% 81 $423.74
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 12 $18.86

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 officialDOPSON, ROBERT (MANAGING MEMBER)
Same official

Other billing entities under DOPSON, ROBERT

Full network →
ProviderLocationPaid
Sleep Center of Northeast Louisiana INCMonroe, LA$1.41M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.