Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Rancho Cucamonga › NPI 1730439779
Supplier

Mari-Mina Pharmaceuticals INC

Mari-Mina Pharmaceuticals INC was paid $73K by Medicaid between Nov 2018 and Nov 2024, across 6 billing codes. Its largest line is T4541, Incontinence product, disposable underpad, large, each — 87% of everything it billed.

33Billing provider infoMARI-MINA PHARMACEUTICALS INC
RANCHO CUCAMONGA, CA 91730
33aNPI1730439779assigned 09/18/2012
28Total paid$73K
24GClaims1,303
24DCodes billed6
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers

Next to other Home Infusion Therapy Pharmacy providers in California

Rank by total paid#14 of 17
Median peer was paid$1.99M
This provider vs. median0.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018141$7K
2019268$13K
2020167$9K
2021117$6K
202285$5K
2023185$10K
2024incomplete340$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T4541 Incontinence product, disposable underpad, large, each 87% 1,130 1,129 $63K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 7.9% 83 83 $6K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1.9% 22 18 $1K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1.7% 17 16 $1K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 14 14 $697.12
A4927 Gloves, non-sterile, per 100 <1% 37 35 $412.06

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 officialKOLTA, NOHA (PIC)