LOS PALACIOS MEDICAL SUPPLIES AND PHARMACY
NPI: 1346274297
· HIALEAH, FL 33013
· Pharmacy
· NPI assigned 07/10/2006
$69.67
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
66 |
$69.67 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
33 |
12 |
$69.67 |
| A4259 |
Lancets, per box of 100 |
33 |
12 |
$0.00 |