Supplier
Extended Living Pharmacy LLC
Extended Living Pharmacy LLC was paid $31.18 by Medicaid between Jun 2018 and Oct 2024, across 10 billing codes. Its largest line is J7620, Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme — 52% of everything it billed.
33Billing provider infoEXTENDED LIVING PHARMACY LLC
FORSYTH, IL 62535
FORSYTH, IL 62535
33aNPI1992899306assigned 10/03/2006
33bProvider typePharmacy
28Total paid$31.18
24GClaims773
24DCodes billed10
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Illinois
Rank by total paid#9 of 10
Median peer was paid$2K
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 | |
|---|---|---|---|
| 2018 | 13 | $14.88 | |
| 2019 | 15 | $16.30 | |
| 2021 | 355 | $0.00 | |
| 2022 | 258 | $0.00 | |
| 2023 | 17 | $0.00 | |
| 2024incomplete | 115 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 52% | 15 | 13 | $16.30 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 48% | 13 | 12 | $14.88 |
| G0008 | Administration of influenza virus vaccine | 0% | 57 | 36 | $0.00 |
| 90656 | 0% | 58 | 37 | $0.00 | |
| 0064A | 0% | 386 | 386 | $0.00 | |
| 0012A | 0% | 17 | 17 | $0.00 | |
| 0134A | 0% | 53 | 53 | $0.00 | |
| 0004A | 0% | 45 | 45 | $0.00 | |
| 0124A | 0% | 58 | 58 | $0.00 | |
| 0054A | 0% | 71 | 71 | $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 officialAUBRY, JEFFREY (MANAGER)