Elm Pharmacy, INC.

Elm Pharmacy, INC. was paid $11.62M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 76% of everything it billed.

Compared with peers

Next to other Pharmacy providers in New York

Rank by total paid#3 of 126

Median peer was paid$2K

This provider vs. median4,932×

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	2,721	$935K
2019	4,076	$1.22M
2020	4,950	$1.34M
2021	5,595	$1.38M
2022	5,650	$1.28M
2023	5,995	$2.45M
2024incomplete	5,972	$3.02M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	76%	10,195	9,288	$8.80M
A4554	Disposable underpads, all sizes	9.5%	7,154	6,955	$1.10M
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	4.7%	1,867	1,745	$548K
T4533	Youth sized disposable incontinence product, brief/diaper, each	2.6%	3,093	2,960	$306K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2.2%	1,008	966	$257K
T4537	Incontinence product, protective underpad, reusable, bed size, each	1.5%	2,929	2,839	$175K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	1.2%	1,499	1,445	$139K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	<1%	583	570	$71K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	<1%	394	381	$59K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	649	645	$23K
A9286	Hygienic item or device, disposable or non-disposable, any type, each	<1%	528	525	$19K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	<1%	120	117	$19K

14 more codes

T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	<1%	143	$17K
V5266	Battery for use in hearing device	<1%	602	$17K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	<1%	118	$15K
A4928	Surgical mask, per 20	<1%	74	$10K
A4322	Irrigation syringe, bulb or piston, each	<1%	231	$9K
A4657	Syringe, with or without needle, each	<1%	159	$9K
B9002	Enteral nutrition infusion pump, any type	<1%	36	$7K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	<1%	62	$6K
A4927	Gloves, non-sterile, per 100	<1%	2,989	$5K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	360	$3K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	<1%	67	$3K
T4539	Incontinence product, diaper/brief, reusable, any size, each	<1%	36	$2K
T4521	Adult sized disposable incontinence product, brief/diaper, small, each	<1%	13	$2K
A4452	Tape, waterproof, per 18 square inches	<1%	50	$451.35

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 officialGERSHKOVICH, LEIB (PRESIDENT)