Supplier
Premier Care RX INC
Premier Care RX INC was paid $27K by Medicaid between Jul 2018 and Sep 2024, across 3 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 95% of everything it billed.
33Billing provider infoPREMIER CARE RX INC
VAN NUYS, CA 91401
VAN NUYS, CA 91401
33aNPI1487062998assigned 07/28/2014
33bProvider typeCommunity/Retail Pharmacy
28Total paid$27K
24GClaims1,590
24DCodes billed3
24AFirst – last monthJul 2018 – Sep 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in California
Rank by total paid#21 of 366
Median peer was paid$195.39
This provider vs. median140×
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 | 64 | $392.67 | |
| 2019 | 358 | $2K | |
| 2020 | 410 | $2K | |
| 2021 | 417 | $12K | |
| 2022 | 114 | $10K | |
| 2023 | 211 | $417.96 | |
| 2024incomplete | 16 | $0.00 |
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 | 95% | 820 | 746 | $26K |
| A4259 | Lancets, per box of 100 | 4.6% | 754 | 696 | $1K |
| E0607 | Home blood glucose monitor | 0% | 16 | 16 | $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 officialDAVTYAN, ANAIT (PRESIDENT/TECH)