Supplier
Suburban Pharmacy LTC INC
Suburban Pharmacy LTC INC was paid $1K by Medicaid between May 2019 and May 2024, across 1 billing code. Its largest line is Q0513, Pharmacy dispensing fee for inhalation drug(s); per 30 days — 100% of everything it billed.
33Billing provider infoSUBURBAN PHARMACY LTC INC
WEST HARTFORD, CT 06117
WEST HARTFORD, CT 06117
33aNPI1932236775assigned 02/28/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$1K
24GClaims144
24DCodes billed1
24AFirst – last monthMay 2019 – May 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Connecticut
Rank by total paid#114 of 125
Median peer was paid$33K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 67 | $435.60 | |
| 2020 | 52 | $511.51 | |
| 2024incomplete | 25 | $158.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 100% | 144 | 141 | $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 officialKAMMULURI, RATNA KUMAR (PHARMACIST)