PCA IOWA RX, LLC
Long Term Care Pharmacy · URBANDALE, IA
Organization Active NPI 1104385806
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 593 | 2,262 | $201,170 | $182,938 | $182,938 |
| 2023 | 244 | 485 | $40,443 | $37,164 | $37,164 |
| 2022 | 345 | 455 | $27,495 | $23,608 | $23,608 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 545 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 511 | $40 | $40 |
| 90662 | Influenza vaccine split virus, preservative free | 503 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 480 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 75 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 42 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 41 | $22 | $22 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 31 | $128 | $128 |
| 90684 | Pcv21 vaccine im | 31 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | — | — |
| Pharmacy | 333600000X | — | — | |
| 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.