Medicaid Provider Spending

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

DELTA DRUGS II, INC.

NPI: 1013233667 · LAKE ELSINORE, CA 92530 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/07/2010

$884K
Total Medicaid Paid
3,215
Total Claims
3,200
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialAVAKIAN, RITA (PRESIDENT)
NPI Enumeration Date04/07/2010

Related Entities

Other providers sharing the same authorized official: AVAKIAN, RITA

ProviderCityStateTotal Paid
DELTA DRUGS II INC GLENDALE CA $6.92M
DELTA DRUGS II INC CHINO CA $169K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 710 $181K
2019 718 $130K
2020 628 $180K
2021 1,159 $393K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1,597 1,595 $561K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1,618 1,605 $323K