ELSA PHARMACY INC
NPI: 1639243074
· HIALEAH, FL 33010
· Pharmacy
· NPI assigned 11/18/2006
$229.19
Total Medicaid Paid
Provider Details
| Authorized Official | MARTIN, JULIO (PRESIDENT) |
| NPI Enumeration Date | 11/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2022 |
45 |
$77.14 |
| 2023 |
137 |
$152.05 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
170 |
103 |
$225.55 |
| A4259 |
Lancets, per box of 100 |
24 |
12 |
$3.64 |