Komoto Pharmacy, INC.
Komoto Pharmacy, INC. was paid $153K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is T4528, Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each — 37% of everything it billed.
33Billing provider infoKOMOTO PHARMACY, INC.
DELANO, CA 93215
DELANO, CA 93215
33aNPI1548275324assigned 07/30/2006
33bProvider typePharmacist
28Total paid$153K
24GClaims3,216
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pharmacist providers in California
Rank by total paid#2 of 23
Median peer was paid$229.92
This provider vs. median663×
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 | 289 | $12K | |
| 2019 | 593 | $18K | |
| 2020 | 608 | $19K | |
| 2021 | 125 | $6K | |
| 2022 | 168 | $4K | |
| 2023 | 459 | $32K | |
| 2024incomplete | 974 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 37% | 556 | 546 | $56K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 22% | 484 | 484 | $33K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 8.7% | 264 | 264 | $13K |
| E0570 | Nebulizer, with compressor | 7.6% | 242 | 241 | $12K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 6.6% | 259 | 130 | $10K |
| T4541 | Incontinence product, disposable underpad, large, each | 5.0% | 196 | 195 | $8K |
| 99607 | 4.2% | 98 | 98 | $6K | |
| 99605 | 2.6% | 91 | 91 | $4K | |
| 98960 | 1.6% | 84 | 81 | $2K | |
| A4554 | Disposable underpads, all sizes | 1.5% | 54 | 52 | $2K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 1.3% | 523 | 513 | $2K |
| 90653 | <1% | 39 | 39 | $1K |
7 more codes
| 99201 | <1% | 29 | $807.93 | |
| 90694 | <1% | 12 | $506.04 | |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 26 | $503.88 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $411.60 |
| 90674 | <1% | 15 | $358.80 | |
| A4259 | Lancets, per box of 100 | <1% | 218 | $108.30 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $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 officialKOMOTO, BRIAN (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Integrated Care Systems INC | Visalia, CA | $1.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.