Farmacia Belmonte INC

Farmacia Belmonte INC was paid $222.60 by Medicaid between Oct 2021 and Oct 2021, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.

33Billing provider infoFARMACIA BELMONTE INC
HORMIGUEROS, PR 00660

33aNPI1316989171assigned 06/12/2006

33bProvider typeCommunity/Retail Pharmacy

28Total paid$222.60

24GClaims30

24DCodes billed2

24AFirst – last monthOct 2021 – Oct 2021

Compared with peers

Next to other Community/Retail Pharmacy providers in Puerto Rico

Rank by total paid#19 of 23

Median peer was paid$3K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	30	$222.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	100%	15	14	$222.60
90686		0%	15	14	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMARTINEZ, DAVID (PRESIDENT)

Same official

Other billing entities under MARTINEZ, DAVID

Full network →

Provider	Location	Paid
David J. Martinez	Albuquerque, NM	$450K
Farmacia Belmonte Del Oeste INC	Anasco, PR	$302.10
Farmacia Belmonte, INC.	Mayaguez, PR	$206.70

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.