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NPI 1922103142 · Laguna Hills, CA · Pharmacy
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Wilshire Pharmcare, Inc. is a pharmacy provider located in Laguna Hills, California. This profile covers 1 Medicare and 61 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Wilshire Pharmcare, Inc. |
| Address | 26611 Cabot Rd Ste B |
| City | Laguna Hills |
| State | CA |
| ZIP | 92653 |
| Taxonomy | Pharmacy |
| NPI Enumerated | September 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $31M |
| Medicare | $114.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 400 | $280 | $114.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90677 | 2 | 4,400 | 20 | $280 | $8.8K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
61 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 17,810 | $730 | $12.9M |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 11,700 | $230 | $2.7M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 15,010 | $120 | $1.8M |
| A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | 9,240 | $170 | $1.6M |
| A4606 | Oxygen probe for use with oximeter device, replacement | 13,870 | $100 | $1.4M |
| A4605 | Tracheal suction catheter, closed system, each | 2,360 | $540 | $1.3M |
| 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… | 3,410 | $360 | $1.2M |
| A7526 | Tracheostomy tube collar/holder, each | 11,400 | $100 | $1.1M |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 8,610 | $110 | $972.8K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5,320 | $130 | $691.5K |
Showing 1–10 of 61
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
61 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 2 | 20 | 2,050 | $720 | $4.3M |
| A4605 | Tracheal suction catheter, closed system, each | 5 | 10 | 720 | $630 | $1.6M |
| 90378 | Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial… | 8 | 20 | 220 | $2,520 | $1.3M |
| T4541 | Incontinence product, disposable underpad, large, each | 262 | 290 | 2,820 | $50 | $1.1M |
| J0135 | Injection, adalimumab, 20 mg | 11 | 20 | 130 | $2,450 | $809.4K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 42 | 240 | 2,980 | $60 | $709.5K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 19 | 80 | 1,720 | $90 | $686.6K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 2 | 30 | 1,280 | $200 | $630.4K |
| B9998 | Noc for enteral supplies | 12 | 50 | 1,570 | $60 | $544.4K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 2 | 30 | 1,230 | $150 | $463.9K |
Showing 1–10 of 61
Other providers in the same ZIP code as Wilshire Pharmcare, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pmdca, LLC | CA | Clinical Medical Laboratory | $906.1K | $7M |
| John Hwang | CA | Retina Specialist (Ophthalmology) Physician | $1.9M | $1.7M |
| Charles Eifrig | CA | Retina Specialist (Ophthalmology) Physician | $2.6M | $885K |
| Alicia Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $3.2M | $0 |
| Brian Kim | CA | Ophthalmology Physician | $2.6M | $8.9K |
| Pacific Hills Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $1.6M | $15.2K |
| Brandon Morris | CA | Family Nurse Practitioner | $1.4M | $0 |
| Prelude Corporation | CA | Clinical Medical Laboratory | $1M | $9K |
| Ali Tabatabai | CA | Specialist | $1M | $0 |
| Esrafil Abedi | CA | Otolaryngology/Facial Plastic Surgery Physician | $101.1K | $806.2K |
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