Five Star RX INC

Five Star RX INC was paid $6K by Medicaid between Jan 2018 and Jun 2021, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 95% of everything it billed.

33Billing provider infoFIVE STAR RX INC
VAN NUYS, CA 91406

33aNPI1194855908assigned 03/07/2007

33bProvider typePharmacy

28Total paid$6K

24GClaims1,396

24DCodes billed2

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Pharmacy providers in California

Rank by total paid#66 of 179

Median peer was paid$2K

This provider vs. median3.2×

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
2018	629	$3K
2019	308	$1K
2020	351	$1K
2021	108	$740.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	95%	1,025	919	$5K
A4259	Lancets, per box of 100	4.8%	371	324	$275.12

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 officialSADOVSKY, IRINA (PRESIDENT/PIC)