GREEN COUNTRY RX LLC
Community/Retail Pharmacy · CLAREMORE, OK
Organization Active NPI 1154664191
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 305 | 916 | $127,143 | $65,606 | $65,606 |
| 2023 | 395 | 1,062 | $122,742 | $69,063 | $69,063 |
| 2022 | 685 | 1,701 | $99,180 | $70,217 | $70,217 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 263 | $27 | $27 |
| 90653 | Influenza vaccine, inactivated | 224 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 181 | $28 | $28 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 109 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 72 | $151 | $151 |
| 90662 | Influenza vaccine split virus, preservative free | 21 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 14 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 12 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 29-6213 | OK |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.