Supplier
Cornerstone Pharmacy Jacksonville LLC
Cornerstone Pharmacy Jacksonville LLC was paid $45K by Medicaid between Mar 2021 and Jan 2022, across 12 billing codes. Its largest line is 0071A, — 52% of everything it billed.
33Billing provider infoCORNERSTONE PHARMACY JACKSONVILLE LLC
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
33aNPI1083161038assigned 09/07/2016
33bProvider typeCompounding Pharmacy
28Total paid$45K
24GClaims1,354
24DCodes billed12
24AFirst – last monthMar 2021 – Jan 2022
Compared with peers
Next to other Compounding Pharmacy providers in Arkansas
Rank by total paid#3 of 8
Median peer was paid$19K
This provider vs. median2.4×
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 | 1,290 | $38K | |
| 2022 | 64 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0071A | 52% | 406 | 247 | $23K | |
| 0072A | 38% | 248 | 176 | $17K | |
| 0002A | 1.9% | 59 | 58 | $828.39 | |
| 0001A | 1.7% | 55 | 54 | $776.94 | |
| 0012A | 1.5% | 73 | 72 | $656.78 | |
| 0011A | 1.3% | 80 | 78 | $593.88 | |
| 0004A | 1.3% | 41 | 30 | $560.00 | |
| 0064A | <1% | 58 | 53 | $400.00 | |
| 0031A | <1% | 13 | 13 | $280.00 | |
| 91300 | <1% | 53 | 51 | $0.13 | |
| 91301 | 0% | 32 | 32 | $0.00 | |
| 91307 | 0% | 236 | 236 | $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 officialHARRISON, T F KENNETH (OWNER/PRESIDENT/AO)
| Provider | Location | Paid |
|---|---|---|
| Cornerstone Pharmacy Main LLC | Little Rock, AR | $188.39 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.