RED RIVER PHARMACY OF LITTLE ROCK
NPI: 1629525944
· LITTLE ROCK, AR 72211
· 333600000X
$137K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$730.14 |
| 2019 |
1,072 |
$48K |
| 2020 |
854 |
$30K |
| 2021 |
614 |
$5K |
| 2022 |
1,108 |
$24K |
| 2023 |
819 |
$28K |
| 2024 |
111 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
406 |
94 |
$51K |
| B4152 |
Ef calorie dense>/=1.5kcal |
601 |
338 |
$40K |
| A4221 |
Supp non-insulin inf cath/wk |
2,956 |
869 |
$39K |
| E0779 |
Amb infusion pump mechanical |
478 |
43 |
$7K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
33 |
12 |
$85.08 |
| A6257 |
Transparent film <= 16 sq in |
77 |
25 |
$37.44 |
| A6216 |
Non-sterile gauze<=16 sq in |
75 |
25 |
$18.24 |