MANCHESTER RX LLC
Community/Retail Pharmacy · MANCHESTER, CT
Organization Active NPI 1174958953
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 325 | 1,243 | $129,622 | $89,145 | $89,145 |
| 2023 | 397 | 911 | $57,605 | $50,433 | $50,433 |
| 2022 | 586 | 1,575 | $119,528 | $70,693 | $70,693 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 268 | $45 | $45 |
| G0008 | Administration of influenza virus vaccine | 239 | $34 | $34 |
| M0201 | Administration 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 home | 225 | $40 | $40 |
| 90653 | Influenza vaccine, inactivated | 224 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 214 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 54 | $144 | $144 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 15 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY0001290 | CT |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.