MARTINS FOODS OF SOUTH BURLINGTON LLC
Community/Retail Pharmacy · RUTLAND, VT
Organization Active NPI 1104934587
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 288 | 882 | $83,293 | $73,105 | $73,105 |
| 2023 | 378 | 1,293 | $77,072 | $68,184 | $68,184 |
| 2022 | 611 | 1,773 | $75,666 | $59,948 | $59,948 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 237 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 179 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 125 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 112 | $148 | $148 |
| 90653 | Influenza vaccine, inactivated | 93 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 70 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 25 | $31 | $31 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0380003282 | VT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.