Supplier
Whitehall Pharmacy LLC
Whitehall Pharmacy LLC was paid $25K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is A4520, Incontinence garment, any type, (e.g., brief, diaper), each — 95% of everything it billed.
33Billing provider infoWHITEHALL PHARMACY LLC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1962647719assigned 12/09/2008
33bProvider typeCompounding Pharmacy
28Total paid$25K
24GClaims639
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Compounding Pharmacy providers in West Virginia
Rank by total paid#2 of 5
Median peer was paid$1K
This provider vs. median18×
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 | 95 | $6K | |
| 2020 | 251 | $19K | |
| 2021 | 188 | $0.00 | |
| 2022 | 15 | $0.00 | |
| 2023 | 24 | $0.00 | |
| 2024incomplete | 66 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 95% | 218 | 187 | $24K |
| G0008 | Administration of influenza virus vaccine | 3.0% | 99 | 80 | $741.63 |
| 90653 | 1.6% | 30 | 26 | $393.41 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 14 | 13 | $98.22 |
| 0011A | 0% | 75 | 64 | $0.00 | |
| 90480 | 0% | 28 | 25 | $0.00 | |
| 0012A | 0% | 49 | 39 | $0.00 | |
| 0134A | 0% | 15 | 15 | $0.00 | |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 17 | 17 | $0.00 |
| 90694 | 0% | 15 | 15 | $0.00 | |
| 0003A | 0% | 33 | 33 | $0.00 | |
| 0013A | 0% | 18 | 18 | $0.00 |
1 more codes
| 91322 | 0% | 28 | $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 officialVILAIN, TERRI (RPH/OWNER)