GOODRICH PHARMACY, INC.
Clinic Pharmacy · ELK RIVER, MN
Organization Active NPI 1174635171
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 32 | 104 | $8,484 | $8,173 | $8,173 |
| 2023 | 61 | 176 | $10,063 | $9,055 | $9,055 |
| 2022 | 265 | 643 | $21,427 | $18,452 | $18,452 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 25 | $35 | $35 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $156 | $156 |
| G0008 | Administration of influenza virus vaccine | 25 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 24 | $81 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | ✓ | 265080 | MN |
| Pharmacy | 333600000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.