Supplier
Fredonia Pharmacy INC
Fredonia Pharmacy INC was paid $114.59 by Medicaid between Sep 2018 and May 2019, across 1 billing code. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.
33Billing provider infoFREDONIA PHARMACY INC
FREDONIA, KS 66736
FREDONIA, KS 66736
33aNPI1942312897assigned 08/31/2006
33bProvider typePharmacy
28Total paid$114.59
24GClaims35
24DCodes billed1
24AFirst – last monthSep 2018 – May 2019
Compared with peers
Next to other Pharmacy providers in Kansas
Rank by total paid#22 of 42
Median peer was paid$114.59
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 17 | $114.59 | |
| 2019 | 18 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 100% | 35 | 25 | $114.59 |
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 officialEDWARDS, JACOB (MANAGER)