Supplier
Delta Drugs II INC
Delta Drugs II INC was paid $6.92M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 19% of everything it billed.
33Billing provider infoDELTA DRUGS II INC
GLENDALE, CA 91204
GLENDALE, CA 91204
33aNPI1790036671assigned 10/02/2012
33bProvider typeManaged Care Organization Pharmacy
28Total paid$6.92M
24GClaims98,210
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
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 | |
|---|---|---|---|
| 2018 | 26,309 | $1.94M | |
| 2019 | 17,698 | $1.33M | |
| 2020 | 10,488 | $704K | |
| 2021 | 7,590 | $392K | |
| 2022 | 12,474 | $708K | |
| 2023 | 13,721 | $1.02M | |
| 2024incomplete | 9,930 | $833K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 19% | 5,803 | 5,650 | $1.31M |
| B9998 | Noc for enteral supplies | 12% | 6,932 | 6,692 | $858K |
| T4541 | Incontinence product, disposable underpad, large, each | 11% | 14,455 | 14,391 | $728K |
| A4322 | Irrigation syringe, bulb or piston, each | 9.3% | 8,523 | 8,236 | $644K |
| A4657 | Syringe, with or without needle, each | 6.7% | 5,909 | 5,749 | $463K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 5.9% | 1,337 | 1,296 | $410K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 4.9% | 8,086 | 7,605 | $339K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 4.4% | 1,912 | 1,910 | $307K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 3.5% | 2,295 | 2,247 | $243K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 2.8% | 1,778 | 1,777 | $192K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.7% | 1,096 | 1,073 | $189K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.7% | 1,397 | 1,384 | $187K |
17 more codes
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2.6% | 2,747 | $180K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.5% | 2,009 | $172K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 1.9% | 7,141 | $128K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 1.5% | 7,116 | $107K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1.2% | 1,588 | $85K |
| 99429 | 1.2% | 413 | $81K | |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1.1% | 1,218 | $74K |
| A4335 | Incontinence supply; miscellaneous | <1% | 6,144 | $63K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 698 | $61K |
| T4536 | Incontinence product, protective underwear/pull-on, reusable, any size, each | <1% | 3,628 | $40K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 290 | $25K |
| A4402 | Lubricant, per ounce | <1% | 2,610 | $10K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,351 | $10K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | <1% | 141 | $4K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 1,544 | $4K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 36 | $2K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 13 | $315.81 |
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 officialAVAKIAN, RITA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Delta Drugs II, INC. | Lake Elsinore, CA | $884K |
| Delta Drugs II INC | Chino, CA | $169K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.