TEXAS ROAD APPLEGARTH
Community/Retail Pharmacy · MONROE, NJ
Organization Active NPI 1235378761
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,704 | 5,135 | $590,419 | $449,921 | $449,921 |
| 2023 | 1,938 | 5,582 | $451,676 | $369,316 | $369,316 |
| 2022 | 3,422 | 7,136 | $305,570 | $291,823 | $291,823 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,512 | $47 | $47 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,011 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 867 | $34 | $34 |
| 90653 | Influenza vaccine, inactivated | 838 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 573 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 101 | $34 | $34 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 96 | $289 | $289 |
| 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 | 96 | $42 | $42 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 18 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00687700 | NJ |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.