RALEY'S ARIZONA LLC
Community/Retail Pharmacy · LAKE HAVASU CITY, AZ
Organization Active NPI 1083729008
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 35 | 78 | $5,560 | $5,238 | $5,238 |
| 2023 | 44 | 106 | $6,676 | $6,301 | $6,301 |
| 2022 | 65 | 130 | $6,317 | $5,640 | $5,640 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 33 | $22 | $22 |
| 90662 | Influenza vaccine split virus, preservative free | 31 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | Y003678 | AZ |
Other Community/Retail Pharmacy providers in Arizona
- NPI 1861263774
- NPI 1174394860
- NPI 1346605185
- NPI 1851857270
- NPI 1609386119
- NPI 1164511481
- NPI 1811939309
- NPI 1811926868
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.