PINNACLE PHARMACY GROUP, INC.
NPI: 1942474135
· CIMARRON, KS 67835
· Pharmacy
· NPI assigned 04/17/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEKAWA, ELLIOT (PRESIDENT) |
| NPI Enumeration Date | 04/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
450 |
$0.00 |
| 2022 |
560 |
$0.00 |
| 2023 |
420 |
$0.00 |
| 2024 |
395 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0134A |
|
68 |
68 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
65 |
65 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
442 |
442 |
$0.00 |
| 90686 |
|
72 |
72 |
$0.00 |
| 90480 |
|
207 |
207 |
$0.00 |
| 90677 |
|
20 |
20 |
$0.00 |
| 0011A |
|
35 |
35 |
$0.00 |
| 91301 |
|
32 |
32 |
$0.00 |
| 91322 |
|
161 |
161 |
$0.00 |
| 0013A |
|
70 |
70 |
$0.00 |
| 91320 |
|
46 |
46 |
$0.00 |
| 0003A |
|
169 |
169 |
$0.00 |
| 90662 |
|
358 |
358 |
$0.00 |
| 0124A |
|
80 |
80 |
$0.00 |