TOM LAMARTINA INC
NPI: 1174610083
· BROOKNEAL, VA 24528
· Pharmacy
· NPI assigned 10/10/2006
$118.10
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, NATHAN (PIC/OWNER) |
| NPI Enumeration Date | 10/10/2006 |
Related Entities
Other providers sharing the same authorized official: PAYNE, NATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$54.90 |
| 2019 |
49 |
$63.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
100 |
78 |
$118.10 |