Supplier
Fairview MTM Pharma, INC
Fairview MTM Pharma, INC was paid $1K by Medicaid between Jun 2020 and Dec 2021, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 94% of everything it billed.
33Billing provider infoFAIRVIEW MTM PHARMA, INC
SANTA ANA, CA 92703
SANTA ANA, CA 92703
33aNPI1417306200assigned 06/13/2016
33bProvider typeSpecialty Pharmacy
28Total paid$1K
24GClaims457
24DCodes billed2
24AFirst – last monthJun 2020 – Dec 2021
Compared with peers
Next to other Specialty Pharmacy providers in California
Rank by total paid#10 of 12
Median peer was paid$93K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 120 | $364.21 | |
| 2021 | 337 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 94% | 252 | 251 | $1K |
| A4259 | Lancets, per box of 100 | 6.4% | 205 | 205 | $92.01 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLE, DENISE (PRESIDENT/CEO/PIC)
| Provider | Location | Paid |
|---|---|---|
| D-Professional RX INC | Fountain Valley, CA | $2K |
| MTM Pharma INC | Santa Ana, CA | $2K |
| Professional RX INC | Westminster, CA | $281.87 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.