Supplier
Eastside Pharmacy Services LLC
Eastside Pharmacy Services LLC was paid $2K by Medicaid between Dec 2021 and Nov 2022, across 4 billing codes. Its largest line is 0124A, — 57% of everything it billed.
33Billing provider infoEASTSIDE PHARMACY SERVICES LLC
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1902357130assigned 10/24/2016
33bProvider typeCommunity/Retail Pharmacy
28Total paid$2K
24GClaims68
24DCodes billed4
24AFirst – last monthDec 2021 – Nov 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in North Carolina
Rank by total paid#156 of 283
Median peer was paid$2K
This provider vs. median0.8×
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 | 30 | $845.00 | |
| 2022 | 38 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0124A | 57% | 19 | 19 | $1K | |
| 0064A | 43% | 15 | 14 | $845.00 | |
| 91306 | 0% | 15 | 14 | $0.00 | |
| 91312 | 0% | 19 | 19 | $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 officialCHILDRESS, MELINDA (OWNER)