BAYSHORE HEALTH MART, INC.
NPI: 1295145605
· PASADENA, TX 77504
· Community/Retail Pharmacy
· NPI assigned 05/07/2014
$307.20
Total Medicaid Paid
Provider Details
| Authorized Official | MESURIA, PIYUSH (OFFICER) |
| NPI Enumeration Date | 05/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
191 |
$307.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
191 |
188 |
$307.20 |