Supplier
Pharmacy Counter, LLC
Pharmacy Counter, LLC was paid $93K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 60% of everything it billed.
33Billing provider infoPHARMACY COUNTER, LLC
SYLVANIA, OH 43560
SYLVANIA, OH 43560
33aNPI1861886525assigned 03/20/2015
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$93K
24GClaims1,887
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in Ohio
Rank by total paid#34 of 47
Median peer was paid$369K
This provider vs. median0.3×
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 | 575 | $30K | |
| 2019 | 524 | $25K | |
| 2020 | 423 | $23K | |
| 2021 | 303 | $12K | |
| 2022 | 62 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 60% | 1,003 | 975 | $56K |
| E0570 | Nebulizer, with compressor | 34% | 493 | 482 | $31K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 3.1% | 159 | 157 | $3K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 1.3% | 58 | 58 | $1K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 12 | 12 | $508.25 |
| A7035 | Headgear used with positive airway pressure device | <1% | 12 | 12 | $286.72 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 77 | 70 | $279.72 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 73 | 73 | $115.96 |
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 officialCROSS, MISSY (GENERAL MANAGER)
Parent organizationPROMEDICA PHYSICIANS GROUP, INC.
| Provider | Location | Paid |
|---|---|---|
| Pharmacy Counter, LLC | Toledo, OH | $19.71M |
| Pharmacy Counter, LLC | Toledo, OH | $150K |
| Pharmacy Counter, LLC | Defiance, OH | $86K |
| Pharmacy Counter, LLC | Adrian, MI | $74K |
| Pharmacy Counter, LLC | Monroe, MI | $67K |
| Pharmacy Counter LLC | Sandusky, OH | $43K |
| Pharmacy Counter, LLC | Maumee, OH | $25K |
| Pharmacy Counter LLC | Tiffin, OH | $18K |
| Pharmacy Counter LLC | Walbridge, OH | $16K |
| Pharmacy Counter LLC | Fremont, OH | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.