Medicaid Provider Spending

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

AVICURE PHARMACY INC

NPI: 1215115159 · ROWLAND HEIGHTS, CA 91748 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/01/2008

$40.00
Total Medicaid Paid
135
Total Claims
135
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCHUNG, INSEON (OWNER / PIC)
NPI Enumeration Date02/01/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 84 $40.00
2024 51 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 24 24 $40.00
90653 21 21 $0.00
91320 16 16 $0.00
91322 14 14 $0.00
G0008 Administration of influenza virus vaccine 43 43 $0.00
90674 17 17 $0.00