EASTSIDE CLINIC PHARMACY
Community/Retail Pharmacy · LAWTON, OK
Organization Active NPI 1215958285
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 340 | $24,965 | $22,510 | $22,510 |
| 2023 | 125 | 292 | $18,055 | $16,067 | $16,067 |
| 2022 | 157 | 338 | $14,729 | $13,147 | $13,147 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 101 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 81 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 65 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 65 | $155 | $155 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 20 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 36455 | OK |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.