SULLIVAN'S DISCOUNT DRUGS INC.
Community/Retail Pharmacy · KOSCIUSKO, MS
Organization Active NPI 1154354314
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 65 | 149 | $9,375 | $8,825 | $8,825 |
| 2023 | 115 | 267 | $17,908 | $15,570 | $15,570 |
| 2022 | 249 | 521 | $25,153 | $19,543 | $19,543 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 57 | $28 | $28 |
| 90653 | Influenza vaccine, inactivated | 38 | $80 | $80 |
| 90480 | Admn sarscov2 vacc 1 dose | 16 | $39 | $39 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 16 | $36 | $36 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 13 | $140 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | 00233 | MS | |
| Long Term Care Pharmacy | 3336L0003X | 00233 | 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.