Supplier
Watertown Pharmacy LLC
Watertown Pharmacy LLC was paid $191.03 by Medicaid between Oct 2018 and Feb 2024, across 9 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 44% of everything it billed.
33Billing provider infoWATERTOWN PHARMACY LLC
WATERTOWN, MN 55388
WATERTOWN, MN 55388
33aNPI1720013279assigned 07/12/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$191.03
24GClaims255
24DCodes billed9
24AFirst – last monthOct 2018 – Feb 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#229 of 319
Median peer was paid$23K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 29 | $0.00 | |
| 2019 | 31 | $0.00 | |
| 2021 | 75 | $0.00 | |
| 2022 | 53 | $107.85 | |
| 2023 | 52 | $0.00 | |
| 2024incomplete | 15 | $83.18 |
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 | 44% | 15 | 12 | $83.18 |
| 90686 | 36% | 42 | 42 | $68.94 | |
| G0008 | Administration of influenza virus vaccine | 20% | 90 | 90 | $38.91 |
| 0011A | 0% | 13 | 13 | $0.00 | |
| 0012A | 0% | 12 | 12 | $0.00 | |
| 0134A | 0% | 13 | 13 | $0.00 | |
| 90480 | 0% | 17 | 17 | $0.00 | |
| 0013A | 0% | 36 | 36 | $0.00 | |
| 91322 | 0% | 17 | 17 | $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 officialROSDAHL, ROSEMARY (CHIEF MANAGER)