Supplier
Cornerstone Pharmacy Otter Creek LLC
Cornerstone Pharmacy Otter Creek LLC was paid $4K by Medicaid between Oct 2020 and Jan 2023, across 7 billing codes. Its largest line is 0002A, — 52% of everything it billed.
33Billing provider infoCORNERSTONE PHARMACY OTTER CREEK LLC
LITTLE ROCK, AR 72210
LITTLE ROCK, AR 72210
33aNPI1568892164assigned 11/18/2013
33bProvider typePharmacy
28Total paid$4K
24GClaims292
24DCodes billed7
24AFirst – last monthOct 2020 – Jan 2023
Compared with peers
Next to other Pharmacy providers in Arkansas
Rank by total paid#44 of 113
Median peer was paid$2K
This provider vs. median2.1×
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 | 20 | $61.80 | |
| 2021 | 168 | $4K | |
| 2022 | 87 | $0.00 | |
| 2023 | 17 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 52% | 50 | 25 | $2K | |
| 0001A | 44% | 47 | 19 | $2K | |
| 0064A | 2.0% | 13 | 12 | $80.00 | |
| G0008 | Administration of influenza virus vaccine | 1.5% | 20 | 20 | $61.80 |
| 0011A | <1% | 14 | 12 | $40.00 | |
| 91300 | <1% | 44 | 39 | $0.39 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 104 | 104 | $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 officialSHELLEY, ERIC (PIC)