Supplier
Saratoga RX LLC
Saratoga RX LLC was paid $7K by Medicaid between Oct 2020 and Mar 2021, across 1 billing code. Its largest line is T4524, Adult sized disposable incontinence product, brief/diaper, extra large, each — 100% of everything it billed.
33Billing provider infoSARATOGA RX LLC
ROCHESTER, NY 14608
ROCHESTER, NY 14608
33aNPI1881007474assigned 06/11/2014
33bProvider typePharmacy
28Total paid$7K
24GClaims51
24DCodes billed1
24AFirst – last monthOct 2020 – Mar 2021
Compared with peers
Next to other Pharmacy providers in New York
Rank by total paid#52 of 126
Median peer was paid$2K
This provider vs. median2.9×
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 | 37 | $5K | |
| 2021 | 14 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 100% | 51 | 50 | $7K |
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 officialHABIB, KHALID (PHARMACY MANAGER/ PHARMACIST)