Supplier
Central Drug Store INC
Central Drug Store INC was paid $24.22 by Medicaid between Mar 2021 and Mar 2021, across 1 billing code. Its largest line is 0011A, — 100% of everything it billed.
33Billing provider infoCENTRAL DRUG STORE INC
SHADY COVE, OR 97539
SHADY COVE, OR 97539
33aNPI1790830446assigned 01/24/2007
33bProvider typePharmacy
28Total paid$24.22
24GClaims16
24DCodes billed1
24AFirst – last monthMar 2021 – Mar 2021
Compared with peers
Next to other Pharmacy providers in Oregon
Rank by total paid#10 of 22
Median peer was paid$0.00
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 16 | $24.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 100% | 16 | 13 | $24.22 |
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 officialLICHLYTER, TIMOTHY (PRESIDENT)