ANDLEE
Community/Retail Pharmacy · PARIS, MO
Organization Active NPI 1235242876
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 154 | 540 | $62,349 | $42,015 | $42,015 |
| 2023 | 151 | 391 | $36,787 | $26,537 | $26,537 |
| 2022 | 166 | 420 | $69,951 | $14,403 | $14,403 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 130 | $23 | $23 |
| G0008 | Administration of influenza virus vaccine | 119 | $30 | $30 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 111 | $157 | $157 |
| 90653 | Influenza vaccine, inactivated | 100 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 20 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 20 | $128 | $128 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 19 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 2010000018 | MO |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Community/Retail Pharmacy providers in Missouri
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.