Supplier
Cornerstone Pharmacy of Bella Vista LLC
Cornerstone Pharmacy of Bella Vista LLC was paid $5K by Medicaid between Jan 2021 and Dec 2021, across 4 billing codes. Its largest line is 0002A, — 48% of everything it billed.
33Billing provider infoCORNERSTONE PHARMACY OF BELLA VISTA LLC
BELLA VISTA, AR 72714
BELLA VISTA, AR 72714
33aNPI1043546799assigned 10/29/2009
33bProvider typeCompounding Pharmacy
28Total paid$5K
24GClaims574
24DCodes billed4
24AFirst – last monthJan 2021 – Dec 2021
Compared with peers
Next to other Compounding Pharmacy providers in Arkansas
Rank by total paid#8 of 8
Median peer was paid$19K
This provider vs. median0.3×
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 | 574 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 48% | 218 | 146 | $2K | |
| 0001A | 48% | 205 | 137 | $2K | |
| 0004A | 4.2% | 13 | 13 | $200.00 | |
| 91300 | 0% | 138 | 128 | $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 officialGRAHAM, JAMES (CEO, OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.