IVIGRX LLC
NPI: 1639358047
· DIAMOND BAR, CA 91789
· Pharmacy
· NPI assigned 11/01/2007
$504K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GRIFFITH, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
351 |
$158K |
| 2019 |
533 |
$346K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1815 |
Injection, insulin, per 5 units |
422 |
413 |
$317K |
| S5571 |
Insulin delivery device, disposable pen (including insulin); 3 ml size |
462 |
453 |
$188K |