Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BELLFLOWER
› PHARMACY ONE INC
PHARMACY ONE INC
NPI: 1215204557 · BELLFLOWER, CA 90706 ·
332B00000X
$649.20
Total Medicaid Paid
183
Total Claims
183
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
132
$616.85
2024
51
$32.35
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
91322
22
22
$253.44
90756
16
16
$133.20
90480
49
49
$114.61
91320
52
52
$98.46
G0008
Admin influenza virus vac
32
32
$45.72
90661
12
12
$3.77