Kaiser Foundation Health Plan INC

Kaiser Foundation Health Plan INC was paid $33K by Medicaid between Dec 2019 and Jul 2024, across 4 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 91% of everything it billed.

33Billing provider infoKAISER FOUNDATION HEALTH PLAN INC
DOWNEY, CA 90242

33aNPI1861957326assigned 02/08/2019

33bProvider typePharmacy

28Total paid$33K

24GClaims5,817

24DCodes billed4

24AFirst – last monthDec 2019 – Jul 2024

Compared with peers

Next to other Pharmacy providers in California

Rank by total paid#41 of 179

Median peer was paid$2K

This provider vs. median18×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	18	$0.00
2020	835	$3K
2021	1,318	$7K
2022	1,963	$15K
2023	1,446	$7K
2024incomplete	237	$41.94

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	91%	2,415	1,594	$30K
A4259	Lancets, per box of 100	8.0%	1,942	780	$3K
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	936	661	$157.24
A4215	Needle, sterile, any size, each	<1%	524	430	$136.86

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFLOWERS, WILLIAM (VP ACUTE TRANSITIONAL CARE)

Parent organizationKAISER FOUNDATION HEALTH PLAN INC