Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DE LA STAR PHARMACY,INC

NPI: 1295731057 · BURBANK, CA 91506 · Pharmacy · NPI assigned 06/24/2005

$2K
Total Medicaid Paid
772
Total Claims
705
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialFAYROYAN, AREGNAZ (CEO / OWNER)
NPI Enumeration Date06/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 306 $721.69
2019 325 $503.06
2020 141 $298.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 502 456 $1K
A4259 Lancets, per box of 100 270 249 $84.62