Supplier
Olive Hill Pharmacy, INC.
Olive Hill Pharmacy, INC. was paid $0.00 by Medicaid between Aug 2023 and Sep 2024, across 4 billing codes. Its largest line is 90686, — 0% of everything it billed.
33Billing provider infoOLIVE HILL PHARMACY, INC.
LOS ANGELES, CA 90012
LOS ANGELES, CA 90012
33aNPI1124455464assigned 10/01/2013
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims124
24DCodes billed4
24AFirst – last monthAug 2023 – Sep 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in California
Rank by total paid#251 of 366
Median peer was paid$195.39
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 89 | $0.00 | |
| 2024incomplete | 35 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 0% | 29 | 29 | $0.00 | |
| 90656 | 0% | 35 | 35 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 48 | 48 | $0.00 |
| 90674 | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKIM, SUNG (VICE PRESIDENT/PHARMACIST IN CHARGE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.