MARIN WELLNESS PHARMACY LLC
NPI: 1457602294
· SIGNAL HILL, CA 90755
· 333600000X
$477K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,058 |
$228K |
| 2019 |
6,744 |
$106K |
| 2020 |
6,615 |
$124K |
| 2021 |
1,117 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
6,284 |
2,141 |
$117K |
| A4217 |
Sterile water/saline, 500 ml |
1,007 |
767 |
$93K |
| E0776 |
Iv pole |
1,216 |
1,162 |
$87K |
| A4216 |
Sterile water/saline, 10 ml |
698 |
603 |
$63K |
| J1642 |
Inj heparin sodium per 10 u |
1,684 |
1,362 |
$37K |
| A6457 |
Tubular dressing |
1,308 |
1,118 |
$32K |
| A4221 |
Supp non-insulin inf cath/wk |
2,526 |
1,808 |
$20K |
| A4215 |
Sterile needle |
635 |
544 |
$9K |
| S9374 |
Hit hydra 1 liter diem |
17 |
16 |
$6K |
| A4927 |
Non-sterile gloves |
2,259 |
1,805 |
$4K |
| A4649 |
Surgical supplies |
1,198 |
1,059 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
1,809 |
1,522 |
$2K |
| A4209 |
5+ cc sterile syringe&needle |
948 |
836 |
$2K |
| A4245 |
Alcohol wipes per box |
2,323 |
1,859 |
$996.44 |
| A4452 |
Waterproof tape |
458 |
433 |
$633.05 |
| A4248 |
Chlorhexidine antisept |
16 |
16 |
$468.24 |
| S1015 |
Iv tubing extension set |
136 |
124 |
$420.37 |
| A4421 |
Ostomy supply misc |
12 |
12 |
$22.34 |