Supplier
Fry Pharmacy LLC
Fry Pharmacy LLC was paid $2.04M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is A4554, Disposable underpads, all sizes — 27% of everything it billed.
33Billing provider infoFRY PHARMACY LLC
SAN BENITO, TX 78586
SAN BENITO, TX 78586
33aNPI1841205465assigned 07/30/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.04M
24GClaims56,247
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#90 of 566
Median peer was paid$142K
This provider vs. median14×
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 | 6,468 | $256K | |
| 2019 | 7,510 | $277K | |
| 2020 | 8,922 | $315K | |
| 2021 | 9,721 | $330K | |
| 2022 | 8,213 | $288K | |
| 2023 | 8,027 | $292K | |
| 2024incomplete | 7,386 | $283K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4554 | Disposable underpads, all sizes | 27% | 15,596 | 15,451 | $552K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 24% | 4,509 | 4,483 | $496K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 16% | 3,705 | 3,677 | $322K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 12% | 7,530 | 7,404 | $248K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 11% | 1,730 | 1,721 | $218K |
| A4335 | Incontinence supply; miscellaneous | 4.6% | 17,681 | 17,449 | $93K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.1% | 915 | 903 | $23K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 1.1% | 219 | 218 | $22K |
| E0570 | Nebulizer, with compressor | <1% | 982 | 965 | $20K |
| 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 | <1% | 249 | 244 | $17K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 393 | 390 | $6K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 73 | 72 | $5K |
14 more codes
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 50 | $5K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 1,052 | $4K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 36 | $3K |
| K0001 | Standard wheelchair | <1% | 419 | $3K |
| A4670 | Automatic blood pressure monitor | <1% | 25 | $2K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 13 | $917.47 |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 28 | $601.11 |
| A7037 | Tubing used with positive airway pressure device | <1% | 27 | $263.60 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 200 | $261.27 |
| A4259 | Lancets, per box of 100 | <1% | 522 | $210.94 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 197 | $152.48 |
| A4617 | Mouth piece | <1% | 57 | $101.36 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 26 | $70.87 |
| A4535 | 0% | 13 | $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 officialTALLA, SRI (MANAGING MEMBER)