SMITHS FOOD & DRUG CENTERS INC
Community/Retail Pharmacy · MIDVALE, UT
Organization Active NPI 1013932649
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 251 | 986 | $76,495 | $74,889 | $74,889 |
| 2023 | 288 | 1,078 | $61,572 | $59,980 | $59,980 |
| 2022 | 468 | 1,444 | $46,948 | $44,797 | $44,797 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 240 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 212 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 198 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 142 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 88 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 41 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 40 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3714261703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.