Supplier
Bella Vida Pharmacy INC
Bella Vida Pharmacy INC was paid $19K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is Q0511, Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period — 36% of everything it billed.
33Billing provider infoBELLA VIDA PHARMACY INC
TORRANCE, CA 90502
TORRANCE, CA 90502
33aNPI1467650713assigned 07/09/2007
33bProvider typePharmacy
28Total paid$19K
24GClaims3,070
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pharmacy providers in California
Rank by total paid#48 of 179
Median peer was paid$2K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2018 | 763 | $4K | |
| 2019 | 690 | $4K | |
| 2020 | 728 | $7K | |
| 2021 | 427 | $3K | |
| 2022 | 294 | $1K | |
| 2023 | 155 | $115.56 | |
| 2024incomplete | 13 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 36% | 920 | 858 | $7K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 36% | 404 | 223 | $7K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 16% | 844 | 493 | $3K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 10% | 849 | 791 | $2K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 1.7% | 14 | 12 | $329.97 |
| 90480 | 0% | 13 | 13 | $0.00 | |
| 91322 | 0% | 13 | 13 | $0.00 | |
| 90653 | 0% | 13 | 13 | $0.00 |
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 officialJING, CHEN (PRESIDENT/PIC)