Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PALMDALE MEDICAL PHARMACY INC

NPI: 1003811134 · PALMDALE, CA 93551 · Community/Retail Pharmacy · NPI assigned 06/16/2005

$117.97
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2019-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialVACHHANI, POOJAN (CEO/CFO/SEC./DIR.)
NPI Enumeration Date06/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $117.97

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 13 13 $117.97