MOFFETTRX LLC
Community/Retail Pharmacy · MERIDIAN, MS
Organization Active NPI 1114929296
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 232 | 606 | $42,810 | $39,457 | $39,457 |
| 2023 | 173 | 388 | $23,107 | $21,412 | $21,412 |
| 2022 | 188 | 392 | $16,739 | $14,812 | $14,812 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 213 | $28 | $28 |
| 90662 | Influenza vaccine split virus, preservative free | 177 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 82 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $152 | $152 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 36 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 03424-01MM | MS |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.