SAMS WEST INC
Community/Retail Pharmacy · LOGAN, UT
Organization Active NPI 1255358453
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 560 | $39,111 | $38,329 | $38,329 |
| 2023 | 225 | 727 | $39,775 | $38,952 | $38,952 |
| 2022 | 219 | 822 | $24,718 | $23,641 | $23,641 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 140 | $18 | $18 |
| 90653 | Influenza vaccine, inactivated | 130 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 126 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 122 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 14 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 51674061703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.