Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FOUNTAIN VALLEY › FOUNTAIN VALLEY CENTRAL PHARMACY INC

FOUNTAIN VALLEY CENTRAL PHARMACY INC

NPI: 1831100429 · FOUNTAIN VALLEY, CA 92708 · Pharmacy · NPI assigned 08/10/2006

$6K
Total Medicaid Paid
1,500
Total Claims
1,411
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialLE, DANIEL (OWNER)
NPI Enumeration Date08/10/2006

Related Entities

Other providers sharing the same authorized official: LE, DANIEL

ProviderCityStateTotal Paid
DANIEL D. LE, MD, PA HOUSTON TX $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 540 $2K
2019 102 $556.82
2020 357 $1K
2021 501 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 803 752 $5K
A4259 Lancets, per box of 100 697 659 $392.09