BROULIM SUPERMARKETS, LLC
Community/Retail Pharmacy · THAYNE, WY
Organization Active NPI 1225478894
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 114 | 304 | $20,859 | $20,014 | $20,014 |
| 2023 | 150 | 189 | $15,896 | $15,398 | $15,398 |
| 2022 | 20 | 22 | $1,246 | $893 | $893 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 99 | $25 | $25 |
| 90662 | Influenza vaccine split virus, preservative free | 88 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $28 | $28 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $154 | $154 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 19 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Community/Retail Pharmacy providers in Wyoming
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.