FOUNTAIN LAKE FAMILY PHARMACY LLC
Pharmacy · HOT SPRINGS, AR
Organization Active NPI 1164081071
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 19 | 48 | $3,490 | $3,420 | $3,420 |
| 2023 | 40 | 226 | $5,942 | $5,785 | $5,785 |
| 2022 | 99 | 756 | $12,506 | $10,266 | $10,266 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 13 | $29 | $29 |
| 90480 | Admn sarscov2 vacc 1 dose | 11 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| 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.