Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PREMIER CARE RX INC

NPI: 1487062998 · VAN NUYS, CA 91401 · Community/Retail Pharmacy · NPI assigned 07/28/2014

$27K
Total Medicaid Paid
1,590
Total Claims
1,458
Beneficiary Records
3
Codes Billed
2018-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDAVTYAN, ANAIT (PRESIDENT/TECH)
NPI Enumeration Date07/28/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64 $392.67
2019 358 $2K
2020 410 $2K
2021 417 $12K
2022 114 $10K
2023 211 $417.96
2024 16 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 820 746 $26K
A4259 Lancets, per box of 100 754 696 $1K
E0607 Home blood glucose monitor 16 16 $0.00