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.
MONROE, LA 71201
Next to other Durable Medical Equipment & Medical Supplies 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 | 9,571 | $582K | |
| 2019 | 11,335 | $613K | |
| 2020 | 9,917 | $510K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Sleep Center of Northeast Louisiana INC | Monroe, LA | $1.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.