BALYNOR INC
NPI: 1710068572
· CENTRAL CITY, NE 68826
· Community/Retail Pharmacy
· NPI assigned 10/18/2006
$4.44
Total Medicaid Paid
Provider Details
| Authorized Official | KUCHAR, TRAVIS (PRESIDENT/OWNER/PHARMACIST-IN-CHARG) |
| NPI Enumeration Date | 10/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$0.00 |
| 2022 |
41 |
$4.44 |
| 2024 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0054A |
|
15 |
15 |
$4.44 |
| 91322 |
|
19 |
19 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 90480 |
|
19 |
19 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
19 |
19 |
$0.00 |