SMITHS FOOD & DRUG CENTERS INC
Community/Retail Pharmacy · ROCK SPRINGS, WY
Organization Active NPI 1194740720
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 808 | $58,516 | $57,346 | $57,346 |
| 2023 | 286 | 834 | $58,750 | $57,382 | $57,382 |
| 2022 | 261 | 580 | $27,652 | $27,074 | $27,074 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 220 | $13 | $13 |
| 90662 | Influenza vaccine split virus, preservative free | 199 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 153 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 85 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 54 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 31 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 31 | $289 | $289 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 14 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5202267 | WY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.