NORTH PLATTE PHARMACY INC
NPI: 1053403139
· NORTH PLATTE, NE 69101
· Community/Retail Pharmacy
· NPI assigned 09/28/2006
$115.17
Total Medicaid Paid
Provider Details
| Authorized Official | COVEY, TRAVIS (OWNER/PIC) |
| NPI Enumeration Date | 09/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$0.00 |
| 2019 |
45 |
$79.20 |
| 2020 |
14 |
$0.00 |
| 2021 |
109 |
$4.99 |
| 2022 |
45 |
$17.39 |
| 2023 |
66 |
$13.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
33 |
26 |
$79.20 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
58 |
54 |
$35.23 |
| 0134A |
|
13 |
13 |
$0.74 |
| G0008 |
Administration of influenza virus vaccine |
89 |
89 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 0064A |
|
42 |
42 |
$0.00 |
| 90480 |
|
18 |
17 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 91322 |
|
18 |
17 |
$0.00 |