Supplier
Keystone RX Corporation INC
Keystone RX Corporation INC was paid $4.54 by Medicaid between Oct 2018 and Oct 2024, across 7 billing codes. Its largest line is 90688, — 83% of everything it billed.
33Billing provider infoKEYSTONE RX CORPORATION INC
HEMINGFORD, NE 69348
HEMINGFORD, NE 69348
33aNPI1922411925assigned 06/06/2014
33bProvider typeLong Term Care Pharmacy
28Total paid$4.54
24GClaims375
24DCodes billed7
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Nebraska
Rank by total paid#8 of 10
Median peer was paid$37.25
This provider vs. median0.1×
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 | 18 | $0.00 | |
| 2019 | 17 | $0.00 | |
| 2020 | 60 | $0.00 | |
| 2021 | 46 | $0.00 | |
| 2022 | 46 | $0.41 | |
| 2023 | 79 | $4.13 | |
| 2024incomplete | 109 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90688 | 83% | 79 | 79 | $3.77 | |
| 0134A | 17% | 13 | 13 | $0.77 | |
| 91322 | 0% | 33 | 33 | $0.00 | |
| 90653 | 0% | 17 | 17 | $0.00 | |
| 90756 | 0% | 30 | 30 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 170 | 170 | $0.00 |
| 90480 | 0% | 33 | 33 | $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 officialRANDOLPH, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Urgent Care of Colorado, PLLC | Aurora, CO | $15K |
| Keystone Health LLC | Hemingford, NE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.