Medicaid Provider Spending

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

D-PROFESSIONAL RX INC

NPI: 1720144603 · FOUNTAIN VALLEY, CA 92708 · Pharmacy · NPI assigned 12/28/2006

$2K
Total Medicaid Paid
560
Total Claims
550
Beneficiaries
2
Codes Billed
2018-03
First Month
2021-10
Last Month

Provider Details

Authorized OfficialLE, DENISE (PRESIDENT/CEO)
NPI Enumeration Date12/28/2006

Related Entities

Other providers sharing the same authorized official: LE, DENISE

ProviderCityStateTotal Paid
MTM PHARMA INC SANTA ANA CA $2K
FAIRVIEW MTM PHARMA, INC SANTA ANA CA $1K
PROFESSIONAL RX INC WESTMINSTER CA $281.87

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $318.39
2019 54 $253.25
2020 200 $554.49
2021 226 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 309 303 $2K
A4259 Lancets, per box of 100 251 247 $212.39