RITE AID OF PENNSYLVANIA LLC
Community/Retail Pharmacy · SLIPPERY ROCK, PA
Organization Active NPI 1053400705
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 136 | 438 | $35,218 | $33,929 | $33,929 |
| 2023 | 208 | 841 | $34,852 | $32,191 | $32,191 |
| 2022 | 301 | 1,174 | $32,433 | $29,573 | $29,573 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 118 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 112 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 90 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 58 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 30 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 11 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PP413749L | PA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Pennsylvania
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See all Community/Retail Pharmacy providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.