MARI-MINA PHARMACEUTICALS INC
NPI: 1013934876
· RANCHO CUCAMONGA, CA 91730
· 332B00000X
$261K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,653 |
$80K |
| 2019 |
1,091 |
$57K |
| 2020 |
781 |
$37K |
| 2021 |
482 |
$27K |
| 2022 |
491 |
$24K |
| 2023 |
413 |
$21K |
| 2024 |
268 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4541 |
Large disposable underpad |
2,398 |
2,356 |
$126K |
| T4535 |
Disposable liner/shield/pad |
1,396 |
1,300 |
$86K |
| T4527 |
Adult size pull-on lg |
366 |
353 |
$27K |
| T4526 |
Adult size pull-on med |
251 |
237 |
$13K |
| A4927 |
Non-sterile gloves |
695 |
688 |
$8K |
| T4523 |
Adult size brief/diaper lg |
12 |
12 |
$1K |
| A4335 |
Incontinence supply |
61 |
61 |
$335.26 |