Medicaid Provider Spending

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

HARBOR HEALTHY LIVING PHARMACY INC

NPI: 1982919478 · SANTA ANA, CA 92704 · Pharmacy · NPI assigned 08/10/2010

$3K
Total Medicaid Paid
1,202
Total Claims
1,174
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialTRAN, THINH (PRESIDENT/ PIC)
NPI Enumeration Date08/10/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 221 $695.50
2019 145 $325.49
2020 403 $1K
2021 433 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 805 785 $3K
A4259 Lancets, per box of 100 397 389 $216.09