LO COST HEALTHCARE, LLC

Community/Retail Pharmacy · SAVANNAH, GA

Organization Active NPI 1174616890

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024233854$164,426$64,425$64,425
20234545,552$135,550$95,435$95,435
2022463613$45,868$21,803$21,803

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose191$41$41
G0008Administration of influenza virus vaccine163$30$30
91322Sarscov2 vac 50 mcg/0.5ml im157$158$158
90653Influenza vaccine, inactivated135$82$82
M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home108$36$36
91320Sarscv2 vac 30mcg trs-suc im34$153$153
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage26$22$22
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use19$292$292
G0009Administration of pneumococcal vaccine19$30$30

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X
Pharmacy333600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.