Supplier
Whitehall Pharmacy LLC
Whitehall Pharmacy LLC was paid $22K by Medicaid between Mar 2021 and Oct 2022, across 12 billing codes. Its largest line is 0002A, — 50% of everything it billed.
33Billing provider infoWHITEHALL PHARMACY LLC
WHITE HALL, AR 71602
WHITE HALL, AR 71602
33aNPI1962636829assigned 05/07/2009
33bProvider typeCommunity/Retail Pharmacy
28Total paid$22K
24GClaims1,545
24DCodes billed12
24AFirst – last monthMar 2021 – Oct 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Arkansas
Rank by total paid#9 of 98
Median peer was paid$1K
This provider vs. median19×
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 | 1,448 | $21K | |
| 2022 | 97 | $880.51 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 50% | 343 | 312 | $11K | |
| 0001A | 41% | 564 | 504 | $9K | |
| 0004A | 4.0% | 28 | 28 | $880.00 | |
| 0124A | 1.8% | 12 | 12 | $400.00 | |
| 0064A | 1.5% | 16 | 16 | $320.00 | |
| 0011A | <1% | 41 | 41 | $200.00 | |
| 0003A | <1% | 19 | 19 | $160.00 | |
| 91300 | <1% | 466 | 402 | $2.56 | |
| 91307 | <1% | 13 | 13 | $0.12 | |
| 91305 | <1% | 15 | 15 | $0.12 | |
| 91312 | <1% | 12 | 12 | $0.10 | |
| 91306 | <1% | 16 | 16 | $0.08 |
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 officialSTICE, FLOYD (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Whitehall Pharmacy LLC | Pine Bluff, AR | $103K |
| Whitehall Pharmacy LLC | Star City, AR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.