Supplier
Prince Drug Store INC
Prince Drug Store INC was paid $13K by Medicaid between Feb 2021 and Jan 2022, across 8 billing codes. Its largest line is 0071A, — 31% of everything it billed.
33Billing provider infoPRINCE DRUG STORE INC
FORT SMITH, AR 72901
FORT SMITH, AR 72901
33aNPI1417039298assigned 10/20/2006
33bProvider typePharmacy
28Total paid$13K
24GClaims662
24DCodes billed8
24AFirst – last monthFeb 2021 – Jan 2022
Compared with peers
Next to other Pharmacy providers in Arkansas
Rank by total paid#21 of 113
Median peer was paid$2K
This provider vs. median6.8×
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 | 595 | $11K | |
| 2022 | 67 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0071A | 31% | 43 | 43 | $4K | |
| 0072A | 29% | 39 | 39 | $4K | |
| 0001A | 21% | 144 | 141 | $3K | |
| 0002A | 15% | 132 | 129 | $2K | |
| 0004A | 3.6% | 12 | 12 | $480.00 | |
| 91300 | <1% | 187 | 167 | $1.45 | |
| 91307 | <1% | 93 | 86 | $0.90 | |
| 0003A | 0% | 12 | 12 | $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 officialLUNSFORD, DANIEL (AUTHORIZED REP PHCST)