Supplier
NW Otter Creek LLC
NW Otter Creek LLC was paid $39K by Medicaid between Mar 2021 and Nov 2022, across 13 billing codes. Its largest line is 0071A, — 32% of everything it billed.
33Billing provider infoNW OTTER CREEK LLC
LITTLE ROCK, AR 72210
LITTLE ROCK, AR 72210
33aNPI1285167502assigned 04/04/2017
33bProvider typeCommunity/Retail Pharmacy
28Total paid$39K
24GClaims4,723
24DCodes billed13
24AFirst – last monthMar 2021 – Nov 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Arkansas
Rank by total paid#2 of 98
Median peer was paid$1K
This provider vs. median34×
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 | 3,962 | $34K | |
| 2022 | 761 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0071A | 32% | 559 | 326 | $13K | |
| 0072A | 21% | 344 | 196 | $8K | |
| 0001A | 19% | 395 | 294 | $7K | |
| 0002A | 18% | 331 | 244 | $7K | |
| 0064A | 3.4% | 175 | 105 | $1K | |
| 0004A | 2.1% | 59 | 26 | $800.00 | |
| G0008 | Administration of influenza virus vaccine | 2.0% | 107 | 84 | $772.50 |
| 90688 | 1.5% | 42 | 39 | $571.65 | |
| 0011A | <1% | 122 | 113 | $220.22 | |
| 91307 | <1% | 937 | 524 | $2.54 | |
| 91300 | <1% | 992 | 650 | $2.43 | |
| 91301 | <1% | 601 | 433 | $1.14 |
1 more codes
| 0012A | 0% | 59 | $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 officialFAROOQ, UMAR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Knights Medical Associates PC | Bensalem, PA | $709K |
| NW Cantrell LLC | Little Rock, AR | $2K |
| NW Cabot LLC | Cabot, AR | $67.95 |
| SCPG Arkansas LLC | Paris, AR | $36.59 |
| SCPG Arkansas LLC | Prescott, AR | $0.00 |
| SCPG Arkansas LLC | Hot Springs, AR | $0.00 |
| NW Sherwood LLC | Sherwood, AR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.