DAKOTA CLINIC PHARMACY LLC
Community/Retail Pharmacy · FARGO, ND
Organization Active NPI 1154332716
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 220 | 678 | $55,021 | $51,758 | $51,758 |
| 2023 | 278 | 764 | $57,662 | $53,555 | $53,555 |
| 2022 | 417 | 830 | $35,492 | $33,492 | $33,492 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 176 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 159 | $41 | $41 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 159 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 103 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 61 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHAR114 | ND |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.