PHARM E-Z, INC.
NPI: 1689064735
· STERLING HEIGHTS, MI 48310
· Community/Retail Pharmacy
· NPI assigned 01/28/2015
$462.50
Total Medicaid Paid
Provider Details
| Authorized Official | GAMMOH, FARIS (PRESIDENT) |
| NPI Enumeration Date | 01/28/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$211.20 |
| 2022 |
28 |
$108.19 |
| 2023 |
12 |
$143.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
40 |
39 |
$251.30 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
38 |
36 |
$211.20 |