KSR HEALTH CARE LLC
Clinic Pharmacy · SULTAN, WA
Organization Active NPI 1093274458
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 43 | 144 | $51,478 | $11,067 | $11,067 |
| 2023 | 51 | 150 | $9,203 | $5,326 | $5,326 |
| 2022 | 82 | 225 | $6,029 | $5,477 | $5,477 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 38 | $32 | $32 |
| 90653 | Influenza vaccine, inactivated | 35 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 34 | $43 | $43 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 34 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | ✓ | — | — |
| Pharmacy | 333600000X | — | — | |
| 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.