Supplier
Nipomo Pharmacy INC
Nipomo Pharmacy INC was paid $96.38 by Medicaid between Jul 2018 and Apr 2019, across 1 billing code. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.
33Billing provider infoNIPOMO PHARMACY INC
NIPOMO, CA 93444
NIPOMO, CA 93444
33aNPI1619255544assigned 07/26/2011
33bProvider typeCommunity/Retail Pharmacy
28Total paid$96.38
24GClaims38
24DCodes billed1
24AFirst – last monthJul 2018 – Apr 2019
Compared with peers
Next to other Community/Retail Pharmacy providers in California
Rank by total paid#214 of 366
Median peer was paid$195.39
This provider vs. median0.5×
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 | 25 | $48.16 | |
| 2019 | 13 | $48.22 |
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 | 100% | 38 | 36 | $96.38 |
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 officialROUZITALAB, GHOLAM (VICE PRESIDENT)