CALIFORNIA SPECIALTY PHARMACY LLC
NPI: 1114239332
· WHITTIER, CA 90601
· 333600000X
$8.40M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$67K |
| 2019 |
306 |
$606K |
| 2020 |
1,484 |
$2.60M |
| 2021 |
2,295 |
$4.46M |
| 2022 |
221 |
$165K |
| 2023 |
154 |
$107K |
| 2024 |
660 |
$386K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0135 |
Adalimumab injection |
1,125 |
1,040 |
$4.73M |
| J1438 |
Etanercept injection |
536 |
486 |
$1.15M |
| J3490 |
Drugs unclassified injection |
1,494 |
1,394 |
$853K |
| J3590 |
Unclassified biologics |
473 |
444 |
$724K |
| J0585 |
Injection,onabotulinumtoxina |
622 |
619 |
$593K |
| J7325 |
Synvisc or synvisc-one |
253 |
165 |
$131K |
| J7324 |
Orthovisc inj per dose |
238 |
107 |
$117K |
| J1726 |
Makena, 10 mg |
31 |
24 |
$42K |
| 90750 |
|
137 |
137 |
$33K |
| J7321 |
Hyalgan supartz visco-3 dose |
122 |
54 |
$27K |
| 0011A |
|
26 |
26 |
$1K |
| 0012A |
|
20 |
20 |
$800.00 |
| S9542 |
Ht inj noc per diem |
57 |
54 |
$26.25 |