Red River Pharmacy of Little Rock

Red River Pharmacy of Little Rock was paid $137K by Medicaid between Dec 2018 and Mar 2024, across 7 billing codes. Its largest line is A4222, Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) — 37% of everything it billed.

33Billing provider infoRED RIVER PHARMACY OF LITTLE ROCK
LITTLE ROCK, AR 72211

33aNPI1629525944assigned 09/02/2016

33bProvider typePharmacy

28Total paid$137K

24GClaims4,626

24DCodes billed7

24AFirst – last monthDec 2018 – Mar 2024

Compared with peers

Next to other Pharmacy providers in Arkansas

Rank by total paid#2 of 113

Median peer was paid$2K

This provider vs. median70×

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	48	$730.14
2019	1,072	$48K
2020	854	$30K
2021	614	$5K
2022	1,108	$24K
2023	819	$28K
2024incomplete	111	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	37%	406	94	$51K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	29%	601	338	$40K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	28%	2,956	869	$39K
E0779	Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater	5.1%	478	43	$7K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	33	12	$85.08
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	<1%	77	25	$37.44
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	75	25	$18.24

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 officialBRULE, ROBIN (BUSINESS DIRECTOR)