Clinic
Matt's Coastal Pharmacy LLC
Matt's Coastal Pharmacy LLC was paid $1K by Medicaid between Apr 2021 and Jun 2023, across 7 billing codes. Its largest line is 0012A, — 52% of everything it billed.
33Billing provider infoMATT'S COASTAL PHARMACY LLC
MIDDLETOWN, RI 02842
MIDDLETOWN, RI 02842
33aNPI1811409014assigned 10/27/2017
33bProvider typeClinic/Center
28Total paid$1K
24GClaims173
24DCodes billed7
24AFirst – last monthApr 2021 – Jun 2023
Compared with peers
Next to other Clinic/Center providers in Rhode Island
Rank by total paid#9 of 9
Median peer was paid$27K
This provider vs. median0.1×
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 | 33 | $1K | |
| 2022 | 127 | $0.00 | |
| 2023 | 13 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 52% | 17 | 17 | $711.96 | |
| 0011A | 48% | 16 | 16 | $666.08 | |
| G0008 | Administration of influenza virus vaccine | 0% | 44 | 44 | $0.00 |
| 0064A | 0% | 12 | 12 | $0.00 | |
| 0124A | 0% | 41 | 41 | $0.00 | |
| 0003A | 0% | 31 | 31 | $0.00 | |
| 0004A | 0% | 12 | 12 | $0.00 |
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 officialOLIVIER, MATTHEW (OWNER)