Medicaid Provider Spending

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

TNL PHARMACY CORPORATION

NPI: 1790787265 · GARDEN GROVE, CA 92844 · Community/Retail Pharmacy · NPI assigned 08/12/2005

$3K
Total Medicaid Paid
779
Total Claims
768
Beneficiary Records
4
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialNGUYEN, TYRONE (PRESIDENT)
NPI Enumeration Date08/12/2005

Related Entities

Other providers sharing the same authorized official: NGUYEN, TYRONE

ProviderCityStateTotal Paid
ACTIVE CARE PHARMACY INC FOUNTAIN VALLEY CA $122.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 717 $3K
2019 62 $677.12

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 369 363 $2K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 116 114 $1K
A4259 Lancets, per box of 100 280 278 $193.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 13 $9.82