Medicaid Provider Spending

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

KOMOTO PHARMACY INC.

NPI: 1891728226 · BAKERSFIELD, CA 93301 · 183500000X

$71K
Total Medicaid Paid
1,924
Total Claims
1,855
Beneficiaries
8
Codes Billed
2018-03
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $2K
2019 167 $9K
2020 279 $14K
2021 47 $1K
2022 33 $741.28
2023 409 $14K
2024 948 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4215 Sterile needle 473 460 $25K
T4528 Adult size pull-on xl 192 185 $17K
A6446 Conform band s w>=3" <5"/yd 482 450 $16K
A6454 Self-adher band w>=3" <5"/yd 257 251 $7K
A6402 Sterile gauze <= 16 sq in 428 418 $3K
A4670 Automatic bp monitor, dial 61 60 $2K
E0143 Walker folding wheeled w/o s 12 12 $760.10
98960 19 19 $506.54