PLAZA HOME CARE PHARMACY INC
NPI: 1992920383
· PASADENA, CA 91105
· 3336H0001X
$1.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
987 |
$375K |
| 2019 |
2,822 |
$526K |
| 2020 |
771 |
$48K |
| 2021 |
910 |
$80K |
| 2022 |
443 |
$38K |
| 2023 |
85 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4197 |
Parenteral sol 74-100 gm pro |
554 |
396 |
$501K |
| 99601 |
|
3,662 |
518 |
$247K |
| B9004 |
Parenteral infus pump portab |
483 |
419 |
$219K |
| B4224 |
Parenteral administration ki |
558 |
462 |
$72K |
| A4217 |
Sterile water/saline, 500 ml |
346 |
150 |
$13K |
| S9500 |
Hit antibiotic q24h diem |
94 |
52 |
$10K |
| J1642 |
Inj heparin sodium per 10 u |
307 |
148 |
$8K |
| B4193 |
Parenteral sol 52-73 gm prot |
14 |
13 |
$6K |