Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › MAYAGUEZ › FARMACIA BELMONTE, INC.

FARMACIA BELMONTE, INC.

NPI: 1699717538 · MAYAGUEZ, PR 00680 · Community/Retail Pharmacy · NPI assigned 06/12/2006

$206.70
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, DAVID (PRESIDENT)
NPI Enumeration Date06/12/2006

Related Entities

Other providers sharing the same authorized official: MARTINEZ, DAVID

ProviderCityStateTotal Paid
DAVID J. MARTINEZ ALBUQUERQUE NM $450K
FARMACIA BELMONTE DEL OESTE INC ANASCO PR $302.10
FARMACIA BELMONTE INC HORMIGUEROS PR $222.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $206.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $206.70