Medicaid Provider Spending

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

COLORADO PHARMACY AND SUPPLY INC

NPI: 1033190376 · LOS ANGELES, CA 90041 · Pharmacy · NPI assigned 11/11/2005

$4K
Total Medicaid Paid
81
Total Claims
80
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSIMONYAN, ASYA (OWNER)
NPI Enumeration Date11/11/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $2K
2019 12 $704.95
2020 27 $2K
2023 18 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4541 Incontinence product, disposable underpad, large, each 63 63 $4K
90480 18 17 $0.00