Supplier
ST. Francis Discount Pharmacy LLC
ST. Francis Discount Pharmacy LLC was paid $166.35 by Medicaid between Oct 2021 and Sep 2024, across 9 billing codes. Its largest line is 0064A, — 72% of everything it billed.
33Billing provider infoST. FRANCIS DISCOUNT PHARMACY LLC
FORREST CITY, AR 72335
FORREST CITY, AR 72335
33aNPI1023692449assigned 05/11/2021
33bProvider typeCommunity/Retail Pharmacy
28Total paid$166.35
24GClaims201
24DCodes billed9
24AFirst – last monthOct 2021 – Sep 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Arkansas
Rank by total paid#68 of 98
Median peer was paid$1K
This provider vs. median0.1×
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 | 70 | $166.35 | |
| 2022 | 61 | $0.00 | |
| 2024incomplete | 70 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0064A | 72% | 26 | 24 | $120.00 | |
| G0008 | Administration of influenza virus vaccine | 28% | 63 | 58 | $46.35 |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | 14 | $0.00 |
| 90480 | 0% | 14 | 13 | $0.00 | |
| 90677 | 0% | 14 | 14 | $0.00 | |
| 0134A | 0% | 17 | 17 | $0.00 | |
| 90694 | 0% | 17 | 17 | $0.00 | |
| 90662 | 0% | 22 | 22 | $0.00 | |
| 91322 | 0% | 14 | 13 | $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 officialKASSISSIEH, RANDY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| D.L. Baker Drug Co., INC. | North Little Rock, AR | $22K |
| Rose Drug of Russellville INC | Russellville, AR | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.