Supplier
175 Jericho Pharmacy Corp
175 Jericho Pharmacy Corp was paid $10K by Medicaid between Apr 2023 and Apr 2024, across 2 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 94% of everything it billed.
33Billing provider info175 JERICHO PHARMACY CORP
SYOSSET, NY 11791
SYOSSET, NY 11791
33aNPI1699267120assigned 05/31/2018
33bProvider typeCommunity/Retail Pharmacy
28Total paid$10K
24GClaims365
24DCodes billed2
24AFirst – last monthApr 2023 – Apr 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in New York
Rank by total paid#43 of 129
Median peer was paid$2K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2023 | 272 | $5K | |
| 2024incomplete | 93 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 94% | 305 | 286 | $9K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 6.0% | 60 | 60 | $576.00 |
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 officialTSADYK, BENJAMIN (PRESIDENT)