SUMMERS PHARMACY OF NEVADA LLC
Community/Retail Pharmacy · NEVADA, MO
Organization Active NPI 1013081090
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 32 | 74 | $10,790 | $8,314 | $8,314 |
| 2023 | 14 | 27 | $2,549 | $2,202 | $2,202 |
| 2022 | 121 | 227 | $7,013 | $5,347 | $5,347 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 23 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 11 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | 2016010547 | MO |
Other Community/Retail Pharmacy providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.