Supplier
Depietros Pharmacy LLC
Depietros Pharmacy LLC was paid $6K by Medicaid between Jun 2019 and Mar 2020, across 1 billing code. Its largest line is T4528, Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each — 100% of everything it billed.
33Billing provider infoDEPIETROS PHARMACY LLC
DUNMORE, PA 18512
DUNMORE, PA 18512
33aNPI1720358344assigned 01/12/2012
33bProvider typePharmacy
28Total paid$6K
24GClaims68
24DCodes billed1
24AFirst – last monthJun 2019 – Mar 2020
Compared with peers
Next to other Pharmacy providers in Pennsylvania
Rank by total paid#23 of 51
Median peer was paid$4K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 32 | $3K | |
| 2020 | 36 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 100% | 68 | 67 | $6K |
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 officialDEPIETRO, THOMAS (PHARMACY MANAGER/OWNER)