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91304
Billing code 91304
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $13K on code 91304 from 2018 through 2024, to 24 providers — the #7,651 code in the file by dollars.
28Total paid$13K
24GClaims798
Paid per claim line$15.79
33Providers billing it24
Box 32 · Location
Where 91304 is billed
The largest of 13 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 91304
| # | Provider | Location | Claims | Paid on 91304 |
|---|---|---|---|---|
| 1 | Absolutecare of Ohio, LLC | Columbus, OH | 21 | $3K |
| 2 | Infinity Pharmacy LLC | Milwaukee, WI | 16 | $2K |
| 3 | Rite Aid of Pennsylvania LLC | Etters, PA | 13 | $2K |
| 4 | County of Salt Lake | Salt Lake City, UT | 19 | $2K |
| 5 | Las Animas-Huerfano Counties District Health Department | Trinidad, CO | 16 | $1K |
| 6 | Tooele County Health Dept | Tooele, UT | 60 | $896.02 |
| 7 | County of Reno | Hutchinson, KS | 34 | $610.34 |
| 8 | Hopehealth, INC. | Florence, SC | 12 | $592.80 |
| 9 | Oroza-Henners, Gustavo | Chicago, IL | 27 | $451.17 |
| 10 | Project H.O.P.E., INC. | Camden, NJ | 19 | $0.00 |
| 11 | Williams Bros. Health Care Pharmacy, INC | Washington, IN | 66 | $0.00 |
| 12 | Eastland Memorial Hospital District | Waxahachie, TX | 13 | $0.00 |
| 13 | Excelsior Integrated Medical Group, PLLC | New York, NY | 17 | $0.00 |
| 14 | Garvey Medical Center | Monterey Park, CA | 30 | $0.00 |
| 15 | Heartland Homecare Services INC | Lawrence, KS | 96 | $0.00 |
| 16 | Hew W Quon MD a Professional Corporation | Los Angeles, CA | 67 | $0.00 |
| 17 | Primecare Pharmacy INC | Los Angeles, CA | 18 | $0.00 |
| 18 | First Step House | Salt Lake City, UT | 14 | $0.00 |
| 19 | Zhou, Eric | New York, NY | 48 | $0.00 |
| 20 | Engleking RX, LLC | Mitchell, IN | 98 | $0.00 |
| 21 | Liu, Zoe | New York, NY | 33 | $0.00 |
| 22 | Elite RX INC | Fresno, CA | 12 | $0.00 |
| 23 | County of Cowley | Winfield, KS | 14 | $0.00 |
| 24 | Milk & Honey Pharmacy INC. | La Palma, CA | 35 | $0.00 |