Medicaid Provider Spending

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

HAN SAM CORP

NPI: 1689823486 · PALM DESERT, CA 92211 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/17/2008

$1.65M
Total Medicaid Paid
1,302
Total Claims
910
Beneficiaries
7
Codes Billed
2018-08
First Month
2023-04
Last Month

Provider Details

Authorized OfficialBENJAMIN, HANY (CEO)
NPI Enumeration Date09/17/2008

Related Entities

Other providers sharing the same authorized official: BENJAMIN, HANY

ProviderCityStateTotal Paid
HAN SAM CORP IRVINE CA $1.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 296 $589K
2019 976 $1.06M
2023 30 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0135 Injection, adalimumab, 20 mg 524 374 $1.11M
J3490 Unclassified drugs 573 396 $339K
J1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 44 40 $110K
J3590 Unclassified biologics 92 55 $97K
S9379 Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 14 12 $1K
99601 16 12 $1K
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 39 21 $0.00