Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CORNERSTONE PHARMACY OF BELLA VISTA LLC

NPI: 1043546799 · BELLA VISTA, AR 72714 · Compounding Pharmacy · NPI assigned 10/29/2009

$5K
Total Medicaid Paid
574
Total Claims
424
Beneficiaries
4
Codes Billed
2021-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialGRAHAM, JAMES (CEO, OWNER)
NPI Enumeration Date10/29/2009

Related Entities

Other providers sharing the same authorized official: GRAHAM, JAMES

ProviderCityStateTotal Paid
RENAISSANCE MEDICAL LLC LOUISVILLE KY $4.47M
RENAISSANCE MEDICAL LLC LONDON KY $95K
RENAISSANCE MEDICAL LLC FRANKFORT KY $90K
NEW BEGINNINGS FAMILY SERVICES, INC. LOUISVILLE KY $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 574 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 218 146 $2K
0001A 205 137 $2K
0004A 13 13 $200.00
91300 138 128 $0.00