Supplier
Wilshire Pharmcare, INC.
Wilshire Pharmcare, INC. was paid $31.05M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 42% of everything it billed.
33Billing provider infoWILSHIRE PHARMCARE, INC.
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
33aNPI1922103142assigned 09/13/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$31.05M
24GClaims249,753
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#15 of 946
Median peer was paid$15K
This provider vs. median2,036×
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 | |
|---|---|---|---|
| 2018 | 32,087 | $3.49M | |
| 2019 | 35,919 | $4.18M | |
| 2020 | 33,631 | $4.40M | |
| 2021 | 36,739 | $5.21M | |
| 2022 | 35,816 | $5.36M | |
| 2023 | 39,436 | $5.11M | |
| 2024incomplete | 36,125 | $3.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 42% | 17,809 | 10,248 | $12.93M |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 8.7% | 11,695 | 11,150 | $2.69M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 5.8% | 15,005 | 13,932 | $1.79M |
| A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | 5.0% | 9,244 | 8,611 | $1.55M |
| A4606 | Oxygen probe for use with oximeter device, replacement | 4.5% | 13,869 | 7,686 | $1.40M |
| A4605 | Tracheal suction catheter, closed system, each | 4.1% | 2,357 | 2,326 | $1.28M |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 3.9% | 3,407 | 3,199 | $1.22M |
| A7526 | Tracheostomy tube collar/holder, each | 3.6% | 11,403 | 11,222 | $1.13M |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 3.1% | 8,609 | 8,450 | $971K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.2% | 5,319 | 5,282 | $689K |
| B9998 | Noc for enteral supplies | 1.5% | 5,905 | 5,370 | $472K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.1% | 6,533 | 6,530 | $343K |
49 more codes
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 1.1% | 8,935 | $328K |
| S8189 | Tracheostomy supply, not otherwise classified | 1.0% | 647 | $314K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 5,792 | $304K |
| L8501 | Tracheostomy speaking valve | <1% | 3,206 | $297K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 7,956 | $251K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 12,759 | $250K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 11,356 | $228K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 1,365 | $213K |
| A4623 | Tracheostomy, inner cannula | <1% | 1,128 | $188K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 816 | $172K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 12,535 | $171K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 11,249 | $167K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 8,368 | $163K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 549 | $156K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 558 | $150K |
| A7002 | Tubing, used with suction pump, each | <1% | 13,645 | $127K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 2,913 | $126K |
| 90378 | <1% | 309 | $113K | |
| T5999 | Supply, not otherwise specified | <1% | 1,708 | $106K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 226 | $96K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 550 | $91K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 61 | $64K |
| J0135 | Injection, adalimumab, 20 mg | <1% | 165 | $56K |
| A7525 | Tracheostomy mask, each | <1% | 6,229 | $54K |
| A7504 | Filter for use in a tracheostoma heat and moisture exchange system, each | <1% | 464 | $43K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 12,571 | $41K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 488 | $38K |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 1,677 | $37K |
| E0570 | Nebulizer, with compressor | <1% | 355 | $37K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 55 | $33K |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | <1% | 61 | $27K |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 4,078 | $22K |
| A4670 | Automatic blood pressure monitor | <1% | 476 | $21K |
| J0897 | Injection, denosumab, 1 mg | <1% | 70 | $21K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 40 | $16K |
| 90750 | <1% | 45 | $12K | |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 698 | $11K |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 3,244 | $10K |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | <1% | 13 | $8K |
| J3490 | Unclassified drugs | <1% | 817 | $7K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 114 | $2K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 12 | $2K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 74 | $890.87 |
| 90677 | <1% | 112 | $796.41 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 17 | $386.05 |
| E0607 | Home blood glucose monitor | <1% | 14 | $263.25 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 15 | $30.85 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 0% | 50 | $0.00 |
| J1438 | Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 0% | 13 | $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 officialLEE, SAMUEL (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Samuel K. Lee, M.D., INC. | Los Angeles, CA | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.