CARVAJAL PHARMACY LTC
Long Term Care Pharmacy · SAN ANTONIO, TX
Organization Active NPI 1265549638
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,790 | 5,279 | $442,813 | $413,502 | $413,502 |
| 2023 | 1,500 | 3,115 | $232,613 | $226,746 | $226,746 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 1,249 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,193 | $146 | $146 |
| 90480 | Admn sarscov2 vacc 1 dose | 1,193 | $40 | $40 |
| 90653 | Influenza vaccine, inactivated | 1,118 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 197 | $24 | $24 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 179 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 124 | $22 | $22 |
| 90732 | Pneumococcal vaccine, 23-valent | 15 | $131 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 31857 | TX |
| Pharmacy | 333600000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.