Supplier
Reliance Imperial Pharmacy LLC
Reliance Imperial Pharmacy LLC was paid $1K by Medicaid between Sep 2022 and May 2024, across 4 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 92% of everything it billed.
33Billing provider infoRELIANCE IMPERIAL PHARMACY LLC
CALEXICO, CA 92231
CALEXICO, CA 92231
33aNPI1487912333assigned 04/29/2012
33bProvider typePharmacy
28Total paid$1K
24GClaims668
24DCodes billed4
24AFirst – last monthSep 2022 – May 2024
Compared with peers
Next to other Pharmacy providers in California
Rank by total paid#96 of 179
Median peer was paid$2K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 170 | $0.00 | |
| 2023 | 215 | $43.80 | |
| 2024incomplete | 283 | $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 | 92% | 411 | 408 | $1K |
| A4259 | Lancets, per box of 100 | 4.5% | 210 | 210 | $53.45 |
| 90686 | 3.7% | 18 | 18 | $43.80 | |
| 90694 | 0% | 29 | 29 | $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 officialVALIVETI, BRAHMAJI (MEMBER/OWNER)
| Provider | Location | Paid |
|---|---|---|
| New-Cal Pharmacy INC | Barstow, CA | $94.88 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.