BERTRAM SARDINIA PHARMACY
NPI: 1548903453
· SARDINIA, OH 45171
· Pharmacy
· NPI assigned 04/18/2022
$145K
Total Medicaid Paid
Provider Details
| Authorized Official | BERTRAM, ALEX (OWNER) |
| NPI Enumeration Date | 04/18/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
305 |
$426.00 |
| 2023 |
1,620 |
$44K |
| 2024 |
1,410 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
832 |
822 |
$92K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
266 |
266 |
$35K |
| A4927 |
Gloves, non-sterile, per 100 |
2,237 |
1,606 |
$18K |