Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › SDA INC

SDA INC

NPI: 1235140815 · LOS ANGELES, CA 90027 · Pharmacy · NPI assigned 08/10/2006

$3K
Total Medicaid Paid
859
Total Claims
798
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialOVSEPIAN, SARMEN (PRESIDENT)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 443 $1K
2019 129 $542.13
2020 169 $525.15
2021 118 $498.38

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 440 407 $3K
A4259 Lancets, per box of 100 419 391 $208.02