Supplier
Wellspan Pharmacy, INC
Wellspan Pharmacy, INC was paid $282K by Medicaid between Sep 2020 and Mar 2023, across 9 billing codes. Its largest line is T4534, Youth sized disposable incontinence product, protective underwear/pull-on, each — 38% of everything it billed.
33Billing provider infoWELLSPAN PHARMACY, INC
YORK, PA 17403
YORK, PA 17403
33aNPI1871645580assigned 01/16/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$282K
24GClaims4,535
24DCodes billed9
24AFirst – last monthSep 2020 – Mar 2023
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#126 of 279
Median peer was paid$181K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 632 | $29K | |
| 2021 | 2,397 | $152K | |
| 2022 | 1,429 | $97K | |
| 2023 | 77 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 38% | 1,145 | 908 | $106K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 22% | 277 | 246 | $62K |
| A5120 | Skin barrier, wipes or swabs, each | 13% | 1,360 | 1,019 | $36K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | 11% | 419 | 325 | $30K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | 7.4% | 315 | 203 | $21K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 5.1% | 202 | 126 | $14K |
| T4541 | Incontinence product, disposable underpad, large, each | 2.6% | 749 | 517 | $7K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 1.5% | 55 | 48 | $4K |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each | <1% | 13 | 13 | $1K |
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 officialCHARNETSKI, KEVIN (SENIOR PHARMACY MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Wellspan Pharmacy, INC. | York, PA | $306K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.