SAMS WEST INC
Community/Retail Pharmacy · ADDISON, IL
Organization Active NPI 1083985501
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 171 | 583 | $40,690 | $39,876 | $39,876 |
| 2023 | 239 | 1,013 | $46,631 | $45,698 | $45,698 |
| 2022 | 281 | 1,170 | $42,781 | $42,035 | $42,035 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 147 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 142 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 134 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 129 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054017870 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Illinois
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.