Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FARMACIA BELMONTE INC

NPI: 1316989171 · HORMIGUEROS, PR 00660 · Community/Retail Pharmacy · NPI assigned 06/12/2006

$222.60
Total Medicaid Paid
30
Total Claims
28
Beneficiaries
2
Codes Billed
2021-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialMARTINEZ, DAVID (PRESIDENT)
NPI Enumeration Date06/12/2006

Related Entities

Other providers sharing the same authorized official: MARTINEZ, DAVID

ProviderCityStateTotal Paid
DAVID J. MARTINEZ ALBUQUERQUE NM $450K
FARMACIA BELMONTE DEL OESTE INC ANASCO PR $302.10
FARMACIA BELMONTE, INC. MAYAGUEZ PR $206.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 30 $222.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $222.60
90686 15 14 $0.00