Medicaid Provider Spending

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

NOGALES PHARMACY INC

NPI: 1699796656 · ROWLAND HEIGHTS, CA 91748 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/22/2006

$34K
Total Medicaid Paid
631
Total Claims
605
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialHSU, PAR LIN (PRESIDENT)
NPI Enumeration Date07/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 551 $28K
2019 68 $5K
2020 12 $733.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 337 333 $18K
K0005 Ultralightweight wheelchair 135 118 $7K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 80 75 $6K
T4541 Incontinence product, disposable underpad, large, each 79 79 $4K