SUMTER CUT RATE DRUG STORE, LLC
NPI: 1770563231
· SUMTER, SC 29150
· 261Q00000X
$3.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,933 |
$481K |
| 2019 |
14,972 |
$472K |
| 2020 |
14,029 |
$438K |
| 2021 |
14,096 |
$448K |
| 2022 |
13,534 |
$486K |
| 2023 |
13,448 |
$484K |
| 2024 |
13,887 |
$501K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
21,054 |
20,151 |
$673K |
| X1939 |
|
8,504 |
8,476 |
$519K |
| T4528 |
Adult size pull-on xl |
6,299 |
5,941 |
$417K |
| T4527 |
Adult size pull-on lg |
6,263 |
6,005 |
$321K |
| T5999 |
Supply, nos |
33,769 |
31,141 |
$232K |
| T4523 |
Adult size brief/diaper lg |
3,034 |
2,058 |
$220K |
| T4526 |
Adult size pull-on med |
4,725 |
4,449 |
$213K |
| T4524 |
Adult size brief/diaper xl |
2,001 |
1,609 |
$186K |
| T4543 |
Adult disp brief/diap abv xl |
1,222 |
1,206 |
$157K |
| T4535 |
Disposable liner/shield/pad |
4,281 |
4,237 |
$121K |
| T4522 |
Adult size brief/diaper med |
1,296 |
955 |
$77K |
| T2028 |
Special supply, nos waiver |
682 |
634 |
$58K |
| A4927 |
Non-sterile gloves |
4,682 |
3,447 |
$50K |
| T4525 |
Adult size pull-on sm |
750 |
673 |
$39K |
| X1915 |
|
308 |
287 |
$24K |
| T4534 |
Youth size pull-on |
14 |
12 |
$1K |
| T4521 |
Adult size brief/diaper sm |
15 |
15 |
$1K |