ORTIZ PHARMACY INC
NPI: 1508180951
· SAN ANTONIO, TX 78237
· Community/Retail Pharmacy
· NPI assigned 03/15/2010
$206.26
Total Medicaid Paid
Provider Details
| Authorized Official | ORTIZ, ALEJANDRA (DOCTOR OF PHARMACY/PHARMACIST) |
| NPI Enumeration Date | 03/15/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$71.51 |
| 2020 |
40 |
$134.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
70 |
66 |
$206.26 |