Medicaid Provider Spending

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

HONOLULU PHARMACY, INC

NPI: 1366409286 · GLENDALE, CA 91204 · 3336C0003X

$23K
Total Medicaid Paid
650
Total Claims
650
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 650 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4535 Disposable liner/shield/pad 173 173 $11K
T4541 Large disposable underpad 173 173 $9K
T4536 Reusable pull-on any size 173 173 $2K
A6250 Skin seal protect moisturizr 131 131 $65.01