Supplier
Verdugo Plaza Pharmacy INC
Verdugo Plaza Pharmacy INC was paid $955.62 by Medicaid between Dec 2023 and Nov 2024, across 5 billing codes. Its largest line is 90658, — 75% of everything it billed.
33Billing provider infoVERDUGO PLAZA PHARMACY INC
ALHAMBRA, CA 91803
ALHAMBRA, CA 91803
33aNPI1689848269assigned 04/15/2008
33bProvider typeCompounding Pharmacy
28Total paid$955.62
24GClaims235
24DCodes billed5
24AFirst – last monthDec 2023 – Nov 2024
Compared with peers
Next to other Compounding Pharmacy providers in California
Rank by total paid#14 of 21
Median peer was paid$6K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 53 | $187.55 | |
| 2024incomplete | 182 | $768.07 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90658 | 75% | 60 | 60 | $721.38 | |
| 91322 | 15% | 63 | 63 | $143.00 | |
| 90480 | 9.5% | 53 | 53 | $91.24 | |
| 91320 | 0% | 44 | 44 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWONG, LAWRENCE (PRESIDENT)