Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › OLIVE HILL PHARMACY, INC.

OLIVE HILL PHARMACY, INC.

NPI: 1124455464 · LOS ANGELES, CA 90012 · Community/Retail Pharmacy · NPI assigned 10/01/2013

$0.00
Total Medicaid Paid
124
Total Claims
124
Beneficiaries
4
Codes Billed
2023-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKIM, SUNG (VICE PRESIDENT/PHARMACIST IN CHARGE)
NPI Enumeration Date10/01/2013

Related Entities

Other providers sharing the same authorized official: KIM, SUNG

ProviderCityStateTotal Paid
PARKEVILLE LLC GARDENA CA $1.34M
JK PROREHAB INC CERRITOS CA $170K
SUNG KOO KIM,DDS,INC. ROWLAND HEIGHTS CA $112K
ELK GROVE OPTICAL, P.C. ELK GROVE VILLAGE IL $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 89 $0.00
2024 35 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 29 29 $0.00
90656 35 35 $0.00
G0008 Administration of influenza virus vaccine 48 48 $0.00
90674 12 12 $0.00