Superior Specialty Pharmacy of Montana, LLC

Superior Specialty Pharmacy of Montana, LLC was paid $359K by Medicaid between Mar 2019 and Dec 2024, across 4 billing codes. Its largest line is 99601, — 68% of everything it billed.

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	141	$10K
2020	422	$52K
2021	550	$43K
2022	1,178	$91K
2023	1,078	$91K
2024incomplete	832	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99601		68%	3,335	1,685	$242K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	25%	828	558	$89K
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	6.8%	25	13	$24K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	<1%	13	12	$3K

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 officialGRADY, DAVID (PRESIDENT)