SAMS WEST INC
Community/Retail Pharmacy · CRYSTAL LAKE, IL
Organization Active NPI 1023035318
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 247 | 853 | $62,069 | $58,357 | $58,357 |
| 2023 | 316 | 1,168 | $58,784 | $57,609 | $57,609 |
| 2022 | 399 | 1,217 | $43,362 | $42,536 | $42,536 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 224 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 208 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 188 | $17 | $17 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 149 | $149 | $149 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 31 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 14 | $11 | $11 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054014866 | IL |
| 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.