Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ARTESIA › KOAM PHARMACY INC

KOAM PHARMACY INC

NPI: 1518038215 · ARTESIA, CA 90701 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/13/2006

$519.54
Total Medicaid Paid
289
Total Claims
289
Beneficiaries
5
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIM, KWANG (OWNER / PHARMACIST)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: KIM, KWANG

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 174 $519.54
2024 115 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91320 125 125 $385.44
90480 87 87 $133.65
90686 18 18 $0.45
G0008 Administration of influenza virus vaccine 18 18 $0.00
90656 41 41 $0.00