Good Pharmacy INC.
Good Pharmacy INC. was paid $697K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is X1939, — 23% of everything it billed.
33Billing provider infoGOOD PHARMACY INC.
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1750444311assigned 12/18/2006
33bProvider typePharmacist
28Total paid$697K
24GClaims23,235
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
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 | 4,736 | $132K | |
| 2019 | 4,221 | $122K | |
| 2020 | 4,036 | $116K | |
| 2021 | 3,625 | $110K | |
| 2022 | 2,624 | $88K | |
| 2023 | 2,255 | $77K | |
| 2024incomplete | 1,738 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X1939 | 23% | 2,801 | 2,791 | $163K | |
| A4554 | Disposable underpads, all sizes | 19% | 4,225 | 4,219 | $134K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 18% | 2,408 | 2,404 | $128K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 18% | 1,785 | 1,781 | $128K |
| T5999 | Supply, not otherwise specified | 10% | 10,097 | 10,069 | $73K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 4.9% | 1,201 | 1,199 | $34K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 4.4% | 664 | 660 | $30K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 18 | 18 | $3K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 24 | 24 | $2K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 12 | 12 | $1K |
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 officialHYATT, LOIS (VICE-PRESIDENT)