Medicaid Provider Spending

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

RAZI PHARMACY INC.

NPI: 1962723270 · MISSION VIEJO, CA 92691 · Pharmacy · NPI assigned 06/21/2010

$4K
Total Medicaid Paid
1,148
Total Claims
1,106
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialGHOJEHVAND, KAMBIZ (PHARMACIST/OWNER/PIC)
NPI Enumeration Date06/21/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,032 $3K
2019 116 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 605 583 $4K
A4259 Lancets, per box of 100 481 462 $271.00
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 50 49 $175.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $0.45