RITE AID OF PENNSYLVANIA LLC
Community/Retail Pharmacy · UPPER DARBY, PA
Organization Active NPI 1245329986
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 358 | $27,060 | $26,176 | $26,176 |
| 2023 | 111 | 343 | $23,883 | $22,512 | $22,512 |
| 2022 | 179 | 488 | $17,514 | $16,075 | $16,075 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 100 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 67 | $39 | $39 |
| 90653 | Influenza vaccine, inactivated | 56 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $158 | $158 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 33 | $36 | $36 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 19 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $33 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PP413411L | PA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Pennsylvania
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See all Community/Retail Pharmacy providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.