Supplier
Pharmacy One INC
Pharmacy One INC was paid $649.20 by Medicaid between Sep 2023 and Sep 2024, across 6 billing codes. Its largest line is 91322, — 39% of everything it billed.
33Billing provider infoPHARMACY ONE INC
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1215204557assigned 11/30/2011
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$649.20
24GClaims183
24DCodes billed6
24AFirst – last monthSep 2023 – Sep 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#685 of 946
Median peer was paid$15K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 132 | $616.85 | |
| 2024incomplete | 51 | $32.35 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 39% | 22 | 22 | $253.44 | |
| 90756 | 21% | 16 | 16 | $133.20 | |
| 90480 | 18% | 49 | 49 | $114.61 | |
| 91320 | 15% | 52 | 52 | $98.46 | |
| G0008 | Administration of influenza virus vaccine | 7.0% | 32 | 32 | $45.72 |
| 90661 | <1% | 12 | 12 | $3.77 |
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 officialCHUAJAI, PERCILLIA (MANAGER)