Medicaid Provider Spending

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

SOCAL PHARMACY LLC

NPI: 1649713777 · GARDEN GROVE, CA 92843 · Community/Retail Pharmacy · NPI assigned 11/21/2016

$7K
Total Medicaid Paid
1,974
Total Claims
1,944
Beneficiaries
6
Codes Billed
2019-11
First Month
2023-08
Last Month

Provider Details

Authorized OfficialZEGLINSKI, MICHAEL (CEO)
NPI Enumeration Date11/21/2016

Related Entities

Other providers sharing the same authorized official: ZEGLINSKI, MICHAEL

ProviderCityStateTotal Paid
ADVANTAGE HEALTHCARE SERVICES LLC RANCHO CUCAMONGA CA $5K
AHCS MENTAL HEALTH & WELLNESS LLC PASADENA CA $4K
MARKET PHARMACY LLC NORTHRIDGE CA $1K
MARKET PHARMACY LLC NORTHRIDGE CA $383.09

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $22.44
2020 433 $2K
2021 739 $3K
2022 506 $2K
2023 270 $695.91

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A7031 Face mask interface, replacement for full face mask, each 388 379 $4K
A4604 Tubing with integrated heating element for use with positive airway pressure device 105 105 $1K
E0601 Continuous positive airway pressure (cpap) device 162 161 $1K
A7038 Filter, disposable, used with positive airway pressure device 1,295 1,275 $924.13
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 12 12 $326.56
A7032 Cushion for use on nasal mask interface, replacement only, each 12 12 $77.00