Supplier
PPG Store 3, LLC
PPG Store 3, LLC was paid $223K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is J7518, Mycophenolic acid, oral, 180 mg — 37% of everything it billed.
33Billing provider infoPPG STORE 3, LLC
LITTLE ROCK, AR 72703
LITTLE ROCK, AR 72703
33aNPI1669835484assigned 03/30/2016
33bProvider typePharmacy
28Total paid$223K
24GClaims23,299
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pharmacy providers in Arkansas
Rank by total paid#1 of 113
Median peer was paid$2K
This provider vs. median114×
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 | 4,547 | $53K | |
| 2019 | 4,068 | $45K | |
| 2020 | 3,997 | $43K | |
| 2021 | 3,927 | $35K | |
| 2022 | 3,256 | $27K | |
| 2023 | 2,096 | $14K | |
| 2024incomplete | 1,408 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7518 | Mycophenolic acid, oral, 180 mg | 37% | 1,853 | 1,763 | $83K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 36% | 4,885 | 3,907 | $81K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 19% | 1,795 | 1,639 | $41K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 2.9% | 4,752 | 4,527 | $7K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 2.9% | 2,896 | 2,662 | $6K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 2.7% | 6,534 | 4,213 | $6K |
| 0011A | 0% | 193 | 193 | $0.00 | |
| 0012A | 0% | 176 | 175 | $0.00 | |
| 0001A | 0% | 47 | 47 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 85 | 83 | $0.00 |
| 90686 | 0% | 12 | 12 | $0.00 | |
| 0013A | 0% | 40 | 40 | $0.00 |
1 more codes
| 0002A | 0% | 31 | $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 officialHOLDERFIELD, ZACH (OWNER, AO)
| Provider | Location | Paid |
|---|---|---|
| PPG Store 6 LLC | Conway, AR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.