MARCROMS PHARMACY, P C
NPI: 1588636377
· MANCHESTER, TN 37355
· Pharmacist
· NPI assigned 02/06/2006
$127.46
Total Medicaid Paid
Provider Details
| Authorized Official | MCKAMEY, JOE (PRESIDENT) |
| NPI Enumeration Date | 02/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
99 |
$101.05 |
| 2019 |
13 |
$26.41 |
| 2023 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
112 |
112 |
$127.46 |
| 90694 |
|
12 |
12 |
$0.00 |