Simon's Discount Pharmacy, INC.

Simon's Discount Pharmacy, INC. was paid $2K by Medicaid between Jan 2018 and Nov 2020, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 84% of everything it billed.

33Billing provider infoSIMON'S DISCOUNT PHARMACY, INC.
LOS ANGELES, CA 90046

33aNPI1538105515assigned 06/20/2006

33bProvider typeCommunity/Retail Pharmacy

28Total paid$2K

24GClaims685

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Community/Retail Pharmacy providers in California

Rank by total paid#81 of 366

Median peer was paid$195.39

This provider vs. median12×

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	262	$770.31
2019	253	$937.91
2020	170	$663.73

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	84%	353	332	$2K
A4259	Lancets, per box of 100	16%	332	315	$371.86

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 officialIBRAHIM, MARY (CHIEF PHARMACIST/OWNER)