PAYLESS MARKETS INC
NPI: 1285746107
· TAMUNING, GU 96913
· Pharmacy
· NPI assigned 08/31/2006
Provider Details
| Authorized Official | BENITO, MICHAEL (GEN MGR) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
195 |
$2K |
| 2021 |
293 |
$5K |
| 2022 |
182 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
335 |
324 |
$7K |
| E0607 |
Home blood glucose monitor |
12 |
12 |
$959.88 |
| A4259 |
Lancets, per box of 100 |
323 |
313 |
$576.98 |