AGNESIAN HEALTHCARE INC
Community/Retail Pharmacy · FOND DU LAC, WI
Organization Active NPI 1104891746
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 24 | 77 | $6,024 | $5,488 | $5,488 |
| 2023 | 35 | 113 | $5,877 | $5,707 | $5,707 |
| 2022 | 23 | 52 | $1,749 | $1,714 | $1,714 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 24 | $4 | $4 |
| 90653 | Influenza vaccine, inactivated | 22 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $152 | $152 |
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.