GREEN LINE APOTHECARY LLC

Community/Retail Pharmacy · WAKEFIELD, RI

Organization Active NPI 1023483336

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243241,072$120,290$83,209$83,209
20234681,406$143,692$98,983$98,983
20225461,078$58,100$48,045$48,045

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine266$33$33
90480Admn sarscov2 vacc 1 dose258$43$43
91320Sarscv2 vac 30mcg trs-suc im234$150$150
90653Influenza vaccine, inactivated132$82$82
90662Influenza vaccine split virus, preservative free113$82$82
91322Sarscov2 vac 50 mcg/0.5ml im24$143$143
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$76$76
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use11$290$290
G0009Administration of pneumococcal vaccine11$33$33

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003XPHA00608RI
Pharmacy333600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.