BLACKHAWK PHARMACY
Community/Retail Pharmacy · EVANSDALE, IA
Organization Active NPI 1023505542
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 42 | 148 | $84,901 | $12,392 | $12,392 |
| 2023 | 60 | 202 | $36,848 | $14,177 | $14,177 |
| 2022 | 106 | 265 | $12,191 | $8,202 | $8,202 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 39 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $158 | $158 |
| G0008 | Administration of influenza virus vaccine | 31 | $29 | $29 |
| 90653 | Influenza vaccine, inactivated | 29 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1644 | IA |
| Clinic/Center | 261Q00000X | — | — | |
| 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.