Medicaid Provider Spending

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

DELIGHT PHARMACY CORP

NPI: 1649819988 · WOODLAND HILLS, CA 91364 · Community/Retail Pharmacy · NPI assigned 01/03/2020

$928.72
Total Medicaid Paid
138
Total Claims
138
Beneficiaries
3
Codes Billed
2023-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialESFANDIARI, MASOUMEH (PRESIDENT/CEO)
NPI Enumeration Date01/03/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 36 $442.01
2024 102 $486.71

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90694 18 18 $370.48
90653 79 79 $324.49
G0008 Administration of influenza virus vaccine 41 41 $233.75