Drug Mart Pharmacy INC

Drug Mart Pharmacy INC was paid $667.05 by Medicaid between Dec 2018 and Jun 2021, across 2 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 83% of everything it billed.

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
2018	19	$18.30
2019	12	$0.00
2020	215	$391.85
2021	88	$256.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	83%	262	193	$552.99
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	17%	72	49	$114.06

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 officialSANDOVAL, BRANDON (OWNER)