Mitchell's Main Street Pharmacy, INC

Mitchell's Main Street Pharmacy, INC was paid $11K by Medicaid between Oct 2018 and Apr 2023, across 12 billing codes. Its largest line is 0002A, — 58% of everything it billed.

33Billing provider infoMITCHELL'S MAIN STREET PHARMACY, INC
MOUNTAIN VIEW, AR 72560

33aNPI1447503941assigned 10/22/2012

33bProvider typeCommunity/Retail Pharmacy

28Total paid$11K

24GClaims890

24DCodes billed12

24AFirst – last monthOct 2018 – Apr 2023

Compared with peers

Next to other Community/Retail Pharmacy providers in Arkansas

Rank by total paid#20 of 98

Median peer was paid$1K

This provider vs. median9.4×

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
2018	39	$0.00
2020	20	$0.00
2021	753	$11K
2022	65	$0.00
2023	13	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0002A		58%	71	71	$6K
0001A		26%	80	77	$3K
0012A		7.0%	126	125	$766.53
0064A		5.9%	111	108	$640.00
0011A		3.9%	152	144	$423.50
91300		<1%	144	124	$1.37
91301		<1%	57	53	$0.43
91306		<1%	12	12	$0.08
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	0%	66	66	$0.00
0134A		0%	12	12	$0.00
G0008	Administration of influenza virus vaccine	0%	44	44	$0.00
90688		0%	15	15	$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 officialMITCHELL, EDDIE (PRESIDENT)