Supplier
Koam Pharmacy INC
Koam Pharmacy INC was paid $519.54 by Medicaid between Oct 2023 and Oct 2024, across 5 billing codes. Its largest line is 91320, — 74% of everything it billed.
33Billing provider infoKOAM PHARMACY INC
ARTESIA, CA 90701
ARTESIA, CA 90701
33aNPI1518038215assigned 11/13/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$519.54
24GClaims289
24DCodes billed5
24AFirst – last monthOct 2023 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#701 of 946
Median peer was paid$15K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 174 | $519.54 | |
| 2024incomplete | 115 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91320 | 74% | 125 | 125 | $385.44 | |
| 90480 | 26% | 87 | 87 | $133.65 | |
| 90686 | <1% | 18 | 18 | $0.45 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | 18 | $0.00 |
| 90656 | 0% | 41 | 41 | $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 officialKIM, KWANG (OWNER / PHARMACIST)
| Provider | Location | Paid |
|---|---|---|
| Kwang Han Kim DDS, PL | New York, NY | $533K |
| K.S. Kim Dental INC | Van Nuys, CA | $306K |
| Kwang S. Kim DDS, INC | Los Angeles, CA | $158K |
| Kwang Jin Kim DDS | Hawthorne, CA | $44K |
| Kwang Seob Kim DDS INC | Hawaiian Gardens, CA | $37K |
| Kwang W Kim, DDS, PLLC | South Boston, VA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.