Supplier
MP Southpark Pharmacy LLC
MP Southpark Pharmacy LLC was paid $122K by Medicaid between Apr 2018 and May 2024, across 6 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 49% of everything it billed.
33Billing provider infoMP SOUTHPARK PHARMACY LLC
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
33aNPI1427081447assigned 07/10/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$122K
24GClaims3,619
24DCodes billed6
24AFirst – last monthApr 2018 – May 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#295 of 566
Median peer was paid$142K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 178 | $3K | |
| 2019 | 469 | $9K | |
| 2020 | 628 | $23K | |
| 2021 | 721 | $31K | |
| 2022 | 902 | $39K | |
| 2023 | 536 | $14K | |
| 2024incomplete | 185 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 49% | 353 | 353 | $60K |
| A4554 | Disposable underpads, all sizes | 43% | 1,436 | 1,434 | $52K |
| A4335 | Incontinence supply; miscellaneous | 7.7% | 1,743 | 1,737 | $9K |
| 90662 | 0% | 14 | 14 | $0.00 | |
| 90674 | 0% | 16 | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 57 | 57 | $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 officialPRATT, MICAH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Littlefield Prescription Shop LLC | Littlefield, TX | $120.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.