Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › SIMON'S DISCOUNT PHARMACY, INC.

SIMON'S DISCOUNT PHARMACY, INC.

NPI: 1538105515 · LOS ANGELES, CA 90046 · Community/Retail Pharmacy · NPI assigned 06/20/2006

$2K
Total Medicaid Paid
685
Total Claims
647
Beneficiary Records
2
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialIBRAHIM, MARY (CHIEF PHARMACIST/OWNER)
NPI Enumeration Date06/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 262 $770.31
2019 253 $937.91
2020 170 $663.73

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 353 332 $2K
A4259 Lancets, per box of 100 332 315 $371.86