Medicaid Provider Spending

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

MHK PHARMACY CORPORATION

NPI: 1790140721 · TEMPLE CITY, CA 91780 · Pharmacy · NPI assigned 12/17/2015

$25.72
Total Medicaid Paid
174
Total Claims
174
Beneficiaries
4
Codes Billed
2023-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialTHAI, KHANH-LONG (PHARMACY ADMINISTRATOR)
NPI Enumeration Date12/17/2015

Related Entities

Other providers sharing the same authorized official: THAI, KHANH-LONG

ProviderCityStateTotal Paid
T & G HEALTHCARE INC EL MONTE CA $8K
COSMED PHARMACY, INC. VAN NUYS CA $4K
PARTNER HEALTHCARE, INC. MONROVIA CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 174 $25.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 51 51 $25.72
90480 43 43 $0.00
G0008 Administration of influenza virus vaccine 50 50 $0.00
91320 30 30 $0.00