Supplier
Palmyra Pharmacy LLC
Palmyra Pharmacy LLC was paid $160.00 by Medicaid between Apr 2021 and Sep 2024, across 12 billing codes. Its largest line is 0031A, — 50% of everything it billed.
33Billing provider infoPALMYRA PHARMACY LLC
PALMYRA, NJ 08065
PALMYRA, NJ 08065
33aNPI1689922569assigned 08/27/2012
33bProvider typePharmacy
28Total paid$160.00
24GClaims907
24DCodes billed12
24AFirst – last monthApr 2021 – Sep 2024
Compared with peers
Next to other Pharmacy providers in New Jersey
Rank by total paid#27 of 57
Median peer was paid$96.00
This provider vs. median1.7×
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
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 | |
|---|---|---|---|
| 2021 | 247 | $160.00 | |
| 2022 | 279 | $0.00 | |
| 2023 | 238 | $0.00 | |
| 2024incomplete | 143 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0031A | 50% | 20 | 14 | $80.00 | |
| 0003A | 50% | 46 | 45 | $80.00 | |
| 90694 | 0% | 188 | 188 | $0.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 54 | 54 | $0.00 |
| 90480 | 0% | 45 | 45 | $0.00 | |
| 0064A | 0% | 22 | 22 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 261 | 260 | $0.00 |
| 90653 | 0% | 71 | 70 | $0.00 | |
| 0054A | 0% | 43 | 43 | $0.00 | |
| 91322 | 0% | 45 | 45 | $0.00 | |
| 0124A | 0% | 65 | 65 | $0.00 | |
| 0013A | 0% | 47 | 44 | $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.
From NPPES
Who's on the registration
Authorized officialNATHANI, JITENKUMAR (PRESIDENT)