Medicaid Provider Spending

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

VISTA PHARMA INC

NPI: 1679702211 · WESTMINSTER, CA 92683 · Community/Retail Pharmacy · NPI assigned 07/02/2009

$4K
Total Medicaid Paid
1,351
Total Claims
1,324
Beneficiary Records
2
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialTRAN, PHU (PRESIDENT/CEO/RPH)
NPI Enumeration Date07/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 998 $3K
2019 353 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 681 667 $4K
A4259 Lancets, per box of 100 670 657 $332.02