PPG STORE 4, LLC
Community/Retail Pharmacy · MOUNTAIN HOME, AR
Organization Active NPI 1093257420
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 139 | 290 | $194,476 | $17,305 | $17,305 |
| 2023 | 119 | 242 | $158,487 | $11,924 | $11,924 |
| 2022 | 148 | 293 | $180,949 | $13,249 | $13,249 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 138 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 134 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.