Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › VAN NUYS › COSMED PHARMACY, INC.

COSMED PHARMACY, INC.

NPI: 1356879787 · VAN NUYS, CA 91401 · Community/Retail Pharmacy · NPI assigned 05/30/2017

$4K
Total Medicaid Paid
1,340
Total Claims
1,317
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHAI, KHANH-LONG (CEO)
NPI Enumeration Date05/30/2017

Related Entities

Other providers sharing the same authorized official: THAI, KHANH-LONG

ProviderCityStateTotal Paid
T & G HEALTHCARE INC EL MONTE CA $8K
PARTNER HEALTHCARE, INC. MONROVIA CA $2K
MHK PHARMACY CORPORATION TEMPLE CITY CA $25.72

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 977 $3K
2024 363 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 435 424 $2K
90480 511 499 $1K
91320 158 158 $542.14
90653 115 115 $494.26
G0008 Administration of influenza virus vaccine 88 88 $173.50
90694 33 33 $75.81