Custom Prescription Shoppe LLC
Custom Prescription Shoppe LLC was paid $150K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 85% of everything it billed.
FERNDALE, WA 98248
Next to other Community/Retail Pharmacy providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,769 | $33K | |
| 2019 | 5,556 | $32K | |
| 2020 | 5,124 | $26K | |
| 2021 | 3,929 | $19K | |
| 2022 | 2,518 | $13K | |
| 2023 | 3,154 | $17K | |
| 2024incomplete | 1,950 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 85% | 13,088 | 13,087 | $128K |
| A4927 | Gloves, non-sterile, per 100 | 15% | 1,753 | 1,748 | $22K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | 0% | 13,159 | 13,158 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Western Pharmacy Group LLC | San Diego, CA | $385.32 |
| Western Pharmacy Group LLC | Chula Vista, CA | $60.47 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.