FROEDTERT HEALTH PHARMACY LLC
Community/Retail Pharmacy · MEQUON, WI
Organization Active NPI 1134777337
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 69 | 152 | $10,107 | $9,905 | $9,905 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 60 | $4 | $4 |
| 90662 | Influenza vaccine split virus, preservative free | 57 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | — | — | |
| Clinic Pharmacy | 3336C0002X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.