Medicaid Provider Spending

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

HALLERS PHARMACY AND MEDICAL SUPPLY, INC.

NPI: 1215073259 · FREMONT, CA 94536 · Community/Retail Pharmacy · NPI assigned 01/29/2007

$9K
Total Medicaid Paid
2,295
Total Claims
2,188
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBASRAI, JASMINE (CEO)
NPI Enumeration Date01/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,295 $3K
2019 390 $3K
2020 33 $0.00
2023 232 $796.42
2024 345 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,196 1,119 $6K
E0570 Nebulizer, with compressor 509 509 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $965.50
A4259 Lancets, per box of 100 489 483 $265.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 32 $249.76
G0008 Administration of influenza virus vaccine 20 20 $0.00
90674 13 13 $0.00