Supplier
Mitchells Park Street Pharmacy INC
Mitchells Park Street Pharmacy INC was paid $2K by Medicaid between Dec 2020 and Oct 2023, across 11 billing codes. Its largest line is 0012A, — 29% of everything it billed.
33Billing provider infoMITCHELLS PARK STREET PHARMACY INC
CALICO ROCK, AR 72519
CALICO ROCK, AR 72519
33aNPI1487640579assigned 09/23/2005
33bProvider typePharmacy
28Total paid$2K
24GClaims563
24DCodes billed11
24AFirst – last monthDec 2020 – Oct 2023
Compared with peers
Next to other Pharmacy providers in Arkansas
Rank by total paid#56 of 113
Median peer was paid$2K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 17 | $0.00 | |
| 2021 | 408 | $2K | |
| 2022 | 57 | $0.00 | |
| 2023 | 81 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 29% | 116 | 114 | $605.17 | |
| 0011A | 28% | 139 | 129 | $587.77 | |
| 0001A | 26% | 14 | 13 | $560.00 | |
| 0013A | 17% | 78 | 78 | $360.00 | |
| 91300 | <1% | 20 | 13 | $0.20 | |
| 91301 | <1% | 23 | 14 | $0.16 | |
| 90480 | 0% | 20 | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 65 | 65 | $0.00 |
| 0064A | 0% | 13 | 13 | $0.00 | |
| 90662 | 0% | 55 | 55 | $0.00 | |
| 91322 | 0% | 20 | 20 | $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, SARAH (PRESIDENT)