Medicaid Provider Spending

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

CALIFORNIA SPECIALTY PHARMACY LLC

NPI: 1114239332 · WHITTIER, CA 90601 · Pharmacy · NPI assigned 07/02/2010

$8.40M
Total Medicaid Paid
5,134
Total Claims
4,570
Beneficiaries
13
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKRIDNER, GEORGE (PRESIDENT/CEO)
NPI Enumeration Date07/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
J0135 Injection, adalimumab, 20 mg 1,125 1,040 $4.73M
J1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 536 486 $1.15M
J3490 Unclassified drugs 1,494 1,394 $853K
J3590 Unclassified biologics 473 444 $724K
J0585 Injection, onabotulinumtoxina, 1 unit 622 619 $593K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 253 165 $131K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 238 107 $117K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 31 24 $42K
90750 137 137 $33K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 122 54 $27K
0011A 26 26 $1K
0012A 20 20 $800.00
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 57 54 $26.25