Supplier
Holiday Island Pharmacy, LLC
Holiday Island Pharmacy, LLC was paid $0.00 by Medicaid between Jan 2021 and Oct 2021, across 4 billing codes. Its largest line is 91301, — 0% of everything it billed.
33Billing provider infoHOLIDAY ISLAND PHARMACY, LLC
HOLIDAY ISLAND, AR 72631
HOLIDAY ISLAND, AR 72631
33aNPI1760025274assigned 10/28/2019
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims140
24DCodes billed4
24AFirst – last monthJan 2021 – Oct 2021
Compared with peers
Next to other Community/Retail Pharmacy providers in Arkansas
Rank by total paid#73 of 98
Median peer was paid$1K
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 | |
|---|---|---|---|
| 2021 | 140 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91301 | 0% | 28 | 28 | $0.00 | |
| 0011A | 0% | 51 | 50 | $0.00 | |
| 0012A | 0% | 39 | 39 | $0.00 | |
| 0064A | 0% | 22 | 22 | $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 officialPRICE, JEFFERY (OWNER/PHARMACIST)