Supplier
Hartzells Pharmacy INC
Hartzells Pharmacy INC was paid $462K by Medicaid between Jan 2018 and Nov 2022, across 19 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 18% of everything it billed.
33Billing provider infoHARTZELLS PHARMACY INC
CATASAUQUA, PA 18032
CATASAUQUA, PA 18032
33aNPI1770582397assigned 07/15/2005
33bProvider typePharmacy
28Total paid$462K
24GClaims8,807
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Pharmacy providers in Pennsylvania
Rank by total paid#9 of 51
Median peer was paid$4K
This provider vs. median110×
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 | 5,212 | $275K | |
| 2019 | 3,395 | $173K | |
| 2020 | 39 | $3K | |
| 2021 | 149 | $10K | |
| 2022 | 12 | $789.13 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 18% | 823 | 811 | $82K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 15% | 860 | 854 | $71K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 11% | 380 | 377 | $50K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 9.5% | 971 | 955 | $44K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 9.5% | 461 | 460 | $44K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 6.5% | 284 | 252 | $30K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 6.0% | 695 | 688 | $28K |
| T4541 | Incontinence product, disposable underpad, large, each | 5.6% | 1,226 | 1,204 | $26K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | 5.2% | 103 | 101 | $24K |
| A4927 | Gloves, non-sterile, per 100 | 4.2% | 2,328 | 1,413 | $19K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 4.0% | 110 | 104 | $18K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.6% | 116 | 115 | $12K |
7 more codes
| B4100 | Food thickener, administered orally, per ounce | 1.7% | 167 | $8K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 26 | $3K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 14 | $1K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 26 | $1K |
| E0570 | Nebulizer, with compressor | <1% | 163 | $514.11 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 41 | $216.34 |
| A4259 | Lancets, per box of 100 | <1% | 13 | $2.52 |
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 officialHARTZELL, VINCENT (PRESIDENT)