Vincent Ly Pharmacy Incorporation

Vincent Ly Pharmacy Incorporation was paid $22K by Medicaid between Dec 2019 and Dec 2023, across 5 billing codes. Its largest line is 90750, — 97% of everything it billed.

33Billing provider infoVINCENT LY PHARMACY INCORPORATION
MONTEREY PARK, CA 91754

33aNPI1902251945assigned 04/27/2016

33bProvider typePharmacy

28Total paid$22K

24GClaims515

24DCodes billed5

24AFirst – last monthDec 2019 – Dec 2023

Compared with peers

Next to other Pharmacy providers in California

Rank by total paid#47 of 179

Median peer was paid$2K

This provider vs. median12×

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	48	$3K
2020	322	$16K
2021	88	$3K
2023	57	$44.55

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90750		97%	134	130	$21K
90715		3.2%	13	13	$697.84
90480		<1%	39	39	$44.55
S9430	Pharmacy compounding and dispensing services	<1%	311	283	$8.00
91322		0%	18	18	$0.00

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 officialLY, VINCENT (CEO/PHARMACIST IN CHARGE)