Supplier
South Side Drug Co INC
South Side Drug Co INC was paid $0.00 by Medicaid between Oct 2019 and Oct 2023, across 4 billing codes. Its largest line is 90662, — 0% of everything it billed.
33Billing provider infoSOUTH SIDE DRUG CO INC
SPRINGFIELD, TN 37172
SPRINGFIELD, TN 37172
33aNPI1649312737assigned 02/13/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims82
24DCodes billed4
24AFirst – last monthOct 2019 – Oct 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Tennessee
Rank by total paid#39 of 58
Median peer was paid$69.87
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 18 | $0.00 | |
| 2020 | 18 | $0.00 | |
| 2021 | 14 | $0.00 | |
| 2023 | 32 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90662 | 0% | 20 | 20 | $0.00 | |
| 90630 | 0% | 18 | 18 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 32 | 32 | $0.00 |
| 90686 | 0% | 12 | 12 | $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 officialSLOAN, DON (PHARMACIST)