Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › BELLFLOWER › PHARMACY ONE INC

PHARMACY ONE INC

NPI: 1215204557 · BELLFLOWER, CA 90706 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/30/2011

$649.20
Total Medicaid Paid
183
Total Claims
183
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCHUAJAI, PERCILLIA (MANAGER)
NPI Enumeration Date11/30/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 132 $616.85
2024 51 $32.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 22 22 $253.44
90756 16 16 $133.20
90480 49 49 $114.61
91320 52 52 $98.46
G0008 Administration of influenza virus vaccine 32 32 $45.72
90661 12 12 $3.77