Supplier
Sulco RX, LLC
Sulco RX, LLC was paid $12K by Medicaid between Jan 2018 and Dec 2018, across 3 billing codes. Its largest line is T4535, Disposable liner/shield/guard/pad/undergarment, for incontinence, each — 59% of everything it billed.
33Billing provider infoSULCO RX, LLC
DUSHORE, PA 18614
DUSHORE, PA 18614
33aNPI1790790392assigned 07/30/2006
33bProvider typePharmacy
28Total paid$12K
24GClaims216
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pharmacy providers in Pennsylvania
Rank by total paid#21 of 51
Median peer was paid$4K
This provider vs. median3.0×
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 | 216 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 59% | 139 | 138 | $7K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 39% | 65 | 64 | $5K |
| T4541 | Incontinence product, disposable underpad, large, each | 2.2% | 12 | 12 | $273.60 |
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 officialKELLER, MELISSA (OWNER)