JOLLYS PHARMACY INC
Long Term Care Pharmacy · RENTON, WA
Organization Active NPI 1235388430
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,086 | 3,562 | $387,928 | $246,546 | $246,546 |
| 2023 | 1,355 | 3,529 | $299,024 | $196,187 | $196,187 |
| 2022 | 1,558 | 3,685 | $259,273 | $165,098 | $165,098 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 1,036 | $36 | $36 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 703 | $36 | $36 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 688 | $158 | $158 |
| 90480 | Admn sarscov2 vacc 1 dose | 688 | $47 | $47 |
| 90662 | Influenza vaccine split virus, preservative free | 289 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 57 | $36 | $36 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 57 | $292 | $292 |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 44 | $20 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | PHAR.CF.60065440 | WA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.