Medicaid Provider Spending

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

DIABETES CARE PHARMACY

NPI: 1871623280 · WEST COVINA, CA 91790 · Clinical Medical Laboratory · NPI assigned 03/06/2007

$1K
Total Medicaid Paid
55
Total Claims
55
Beneficiaries
3
Codes Billed
2019-02
First Month
2023-01
Last Month

Provider Details

Authorized OfficialSONG, TONY (CEO)
NPI Enumeration Date03/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $484.84
2022 31 $538.20
2023 12 $359.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9873 First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions 31 31 $538.20
A4215 Needle, sterile, any size, each 12 12 $484.84
G9874 Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions 12 12 $359.20