Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Farmacia Belmonte Del Oeste INC

Farmacia Belmonte Del Oeste INC was paid $302.10 by Medicaid between Oct 2021 and Oct 2021, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.

33Billing provider infoFARMACIA BELMONTE DEL OESTE INC
ANASCO, PR 00610
33aNPI1578980215assigned 03/19/2014
33bProvider typePharmacy
28Total paid$302.10
24GClaims41
24DCodes billed2
24AFirst – last monthOct 2021 – Oct 2021
Compared with peers

Next to other Pharmacy providers in Puerto Rico

Rank by total paid#9 of 10
Median peer was paid$4K
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
202141$302.10
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100% 22 20 $302.10
90686 0% 19 19 $0.00

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 officialMARTINEZ, DAVID (PRESIDENT)
Same official

Other billing entities under MARTINEZ, DAVID

Full network →
ProviderLocationPaid
David J. MartinezAlbuquerque, NM$450K
Farmacia Belmonte INCHormigueros, PR$222.60
Farmacia Belmonte, INC.Mayaguez, PR$206.70

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.