WHITE MEMORIAL MEDICAL PLAZA PHARMACY SERVICES INC
NPI: 1821164146
· LOS ANGELES, CA 90033
· 332B00000X
$262K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,483 |
$155K |
| 2019 |
671 |
$36K |
| 2020 |
521 |
$33K |
| 2021 |
37 |
$0.00 |
| 2022 |
139 |
$6K |
| 2023 |
255 |
$13K |
| 2024 |
298 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4215 |
Sterile needle |
1,519 |
1,363 |
$130K |
| T4541 |
Large disposable underpad |
1,196 |
1,188 |
$63K |
| E0720 |
Tens two lead |
62 |
62 |
$15K |
| T4528 |
Adult size pull-on xl |
143 |
143 |
$11K |
| A4595 |
Tens suppl 2 lead per month |
423 |
423 |
$11K |
| T4535 |
Disposable liner/shield/pad |
226 |
225 |
$11K |
| T4527 |
Adult size pull-on lg |
91 |
90 |
$7K |
| E0143 |
Walker folding wheeled w/o s |
45 |
41 |
$4K |
| T4523 |
Adult size brief/diaper lg |
37 |
37 |
$4K |
| T4526 |
Adult size pull-on med |
38 |
38 |
$2K |
| E0156 |
Walker seat attachment |
74 |
70 |
$1K |
| A4253 |
Blood glucose/reagent strips |
123 |
110 |
$749.81 |
| A4670 |
Automatic bp monitor, dial |
14 |
14 |
$561.34 |
| A4245 |
Alcohol wipes per box |
262 |
262 |
$525.48 |
| A4335 |
Incontinence supply |
37 |
36 |
$192.09 |
| E0100 |
Cane adjust/fixed with tip |
12 |
12 |
$171.25 |
| T5999 |
Supply, nos |
42 |
42 |
$110.66 |
| A4259 |
Lancets per box |
23 |
18 |
$9.94 |
| 0003A |
|
25 |
25 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |