HYLAN CARE PHARMA CORP
NPI: 1013548437
· STATEN ISLAND, NY 10305
· Community/Retail Pharmacy
· NPI assigned 02/04/2020
$920.00
Total Medicaid Paid
Provider Details
| Authorized Official | O, A (PRESIDENT/OWNER) |
| NPI Enumeration Date | 02/04/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
63 |
$920.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
19 |
18 |
$600.00 |
| 0011A |
|
26 |
25 |
$320.00 |
| 91301 |
|
18 |
18 |
$0.00 |