Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KOMOTO PHARMACY, INC.

NPI: 1548275324 · DELANO, CA 93215 · 183500000X

$153K
Total Medicaid Paid
3,216
Total Claims
3,047
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 289 $12K
2019 593 $18K
2020 608 $19K
2021 125 $6K
2022 168 $4K
2023 459 $32K
2024 974 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4528 Adult size pull-on xl 556 546 $56K
T4527 Adult size pull-on lg 484 484 $33K
T4526 Adult size pull-on med 264 264 $13K
E0570 Nebulizer with compression 242 241 $12K
A5500 Diab shoe for density insert 259 130 $10K
T4541 Large disposable underpad 196 195 $8K
99607 98 98 $6K
99605 91 91 $4K
98960 84 81 $2K
A4554 Disposable underpads 54 52 $2K
A4253 Blood glucose/reagent strips 523 513 $2K
90653 39 39 $1K
99201 29 29 $807.93
90694 12 12 $506.04
A5512 Multi den insert direct form 26 13 $503.88
99202 12 12 $411.60
90674 15 15 $358.80
A4259 Lancets per box 218 218 $108.30
G0008 Admin influenza virus vac 14 14 $0.00