Jewett City Pharmacy

Jewett City Pharmacy was paid $3K by Medicaid between Apr 2018 and Apr 2019, across 1 billing code. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.

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	61	$3K
2019	13	$723.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	100%	74	65	$3K

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 officialKOMARI, TONY (OWNER/PRESIDENT/PIC/AO)