Supplier
Ridge LTC Pharmacy, LLC
Ridge LTC Pharmacy, LLC was paid $5K by Medicaid between Jan 2021 and Mar 2021, across 1 billing code. Its largest line is 91301, — 100% of everything it billed.
33Billing provider infoRIDGE LTC PHARMACY, LLC
GILBERT, SC 29054
GILBERT, SC 29054
33aNPI1992293476assigned 04/30/2018
33bProvider typeLong Term Care Pharmacy
28Total paid$5K
24GClaims98
24DCodes billed1
24AFirst – last monthJan 2021 – Mar 2021
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 | |
|---|---|---|---|
| 2021 | 98 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91301 | 100% | 98 | 79 | $5K |
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 officialMETTS, BEVIN (OWNER/PHARMACIST)