Supplier
Long Life Pharmacy LLC
Long Life Pharmacy LLC was paid $69K by Medicaid between Feb 2020 and Apr 2024, across 7 billing codes. Its largest line is 99605, — 52% of everything it billed.
33Billing provider infoLONG LIFE PHARMACY LLC
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
33aNPI1699334532assigned 06/12/2019
33bProvider typeCommunity/Retail Pharmacy
28Total paid$69K
24GClaims2,354
24DCodes billed7
24AFirst – last monthFeb 2020 – Apr 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#7 of 185
Median peer was paid$6K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 852 | $42K | |
| 2021 | 1,104 | $20K | |
| 2022 | 353 | $6K | |
| 2024incomplete | 45 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99605 | 52% | 652 | 475 | $36K | |
| 0001A | 28% | 644 | 587 | $19K | |
| 99606 | 16% | 307 | 261 | $11K | |
| 90686 | 1.6% | 48 | 46 | $1K | |
| 90688 | 1.4% | 30 | 30 | $964.83 | |
| 90674 | 1.0% | 17 | 17 | $706.92 | |
| 91300 | 0% | 656 | 590 | $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 officialSARSOUR, MOATH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Long Life Pharmacy 2 LLC | West Allis, WI | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.