ST. ALEXIUS MANDAN PHARMACY, LLC
Community/Retail Pharmacy · MANDAN, ND
Organization Active NPI 1093134017
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 96 | 284 | $18,136 | $17,692 | $17,692 |
| 2023 | 158 | 399 | $27,968 | $24,610 | $24,610 |
| 2022 | 212 | 474 | $27,681 | $19,230 | $19,230 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 80 | $12 | $12 |
| 90653 | Influenza vaccine, inactivated | 78 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 61 | $15 | $15 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 59 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 793 | ND |
| Pharmacy | 333600000X | — | — | |
| Clinic Pharmacy | 3336C0002X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.