JACKSON DRUGS, LLC
Developmental Disabilities Clinic/Center · FORT PIERCE, FL
Organization Active NPI 1124161435
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 51 | 210 | $21,878 | $19,354 | $19,354 |
| 2023 | 106 | 949 | $22,595 | $18,571 | $18,571 |
| 2022 | 108 | 268 | $10,018 | $9,099 | $9,099 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 47 | $28 | $28 |
| 90653 | Influenza vaccine, inactivated | 32 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 31 | $156 | $156 |
| 90480 | Admn sarscov2 vacc 1 dose | 31 | $43 | $43 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 27 | $33 | $33 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | ✓ | — | — |
| Community/Retail Pharmacy | 3336C0003X | PH6577 | FL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.