Medicaid Provider Spending

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

PRIMECARE PHARMACY INC

NPI: 1316059231 · LOS ANGELES, CA 90005 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/31/2006

$0.00
Total Medicaid Paid
83
Total Claims
83
Beneficiaries
4
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIM, JULIE (CEO)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 53 $0.00
2024 30 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 17 17 $0.00
91304 18 18 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
90480 36 36 $0.00