Clinic
West Side Pharmacy Incorporated
West Side Pharmacy Incorporated was paid $29K by Medicaid between Jan 2021 and Apr 2023, across 7 billing codes. Its largest line is 0002A, — 54% of everything it billed.
33Billing provider infoWEST SIDE PHARMACY INCORPORATED
BENTON, AR 72015
BENTON, AR 72015
33aNPI1013922541assigned 07/31/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$29K
24GClaims2,893
24DCodes billed7
24AFirst – last monthJan 2021 – Apr 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Arkansas
Rank by total paid#9 of 19
Median peer was paid$22K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2021 | 2,546 | $28K | |
| 2022 | 227 | $720.00 | |
| 2023 | 120 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 54% | 729 | 715 | $15K | |
| 0001A | 40% | 797 | 781 | $11K | |
| 0004A | 5.2% | 78 | 75 | $1K | |
| 0003A | <1% | 38 | 37 | $200.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 26 | 23 | $77.25 |
| 91300 | <1% | 897 | 772 | $4.72 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 328 | 321 | $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 officialHALEY, JAMES (PHARMACIST IN CHARGE)