KIHO PAI
NPI: 1508964768
· NORWALK, CA 90650
· Pharmacy
· NPI assigned 09/20/2006
$254.13
Total Medicaid Paid
Provider Details
| Authorized Official | PAI, KIHO (OWNER/PHARMACIST) |
| NPI Enumeration Date | 09/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$140.97 |
| 2019 |
12 |
$113.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
45 |
39 |
$247.64 |
| A4259 |
Lancets, per box of 100 |
15 |
14 |
$6.49 |