Holly Street Drugs, LLC

Holly Street Drugs, LLC was paid $640.56 by Medicaid between Jan 2018 and Apr 2018, across 2 billing codes. Its largest line is A4554, Disposable underpads, all sizes — 57% of everything it billed.

33Billing provider infoHOLLY STREET DRUGS, LLC
HOLLY HILL, SC 29059

33aNPI1801927017assigned 03/08/2007

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$640.56

24GClaims68

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in South Carolina

Rank by total paid#152 of 160

Median peer was paid$125K

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
2018	68	$640.56

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4554	Disposable underpads, all sizes	57%	12	12	$366.72
T5999	Supply, not otherwise specified	43%	56	56	$273.84

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 officialOSTEEN, RACHEL (PLC/OWNER)