WESTERN PHARMACY GROUP LLC
NPI: 1821395609
· SAN DIEGO, CA 92102
· Durable Medical Equipment & Medical Supplies
· NPI assigned 02/14/2011
$385.32
Total Medicaid Paid
Provider Details
| Authorized Official | FARIS, KEVIN (CEO) |
| NPI Enumeration Date | 02/14/2011 |
Related Entities
Other providers sharing the same authorized official: FARIS, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$189.88 |
| 2021 |
118 |
$195.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
68 |
63 |
$122.50 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
24 |
24 |
$110.68 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
24 |
24 |
$79.20 |
| 90662 |
|
20 |
20 |
$65.44 |
| 0004A |
|
17 |
13 |
$7.50 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |