PLYMOUTH CITY PHARMACY LLC
Community/Retail Pharmacy · PLYMOUTH, MI
Organization Active NPI 1265965735
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 21 | 54 | $4,475 | $3,966 | $3,966 |
| 2023 | 17 | 44 | $3,521 | $2,907 | $2,907 |
| 2022 | 61 | 114 | $5,981 | $4,521 | $4,521 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 14 | $27 | $27 |
| 90480 | Admn sarscov2 vacc 1 dose | 12 | $44 | $44 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 12 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5301011140 | MI |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.