RALPHS GROCERY COMPANY
Community/Retail Pharmacy · SAN PEDRO, CA
Organization Active NPI 1275558876
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 520 | $40,395 | $39,540 | $39,540 |
| 2023 | 149 | 494 | $28,620 | $27,795 | $27,795 |
| 2022 | 278 | 860 | $27,374 | $26,880 | $26,880 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 129 | $32 | $32 |
| G0008 | Administration of influenza virus vaccine | 110 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 104 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 92 | $141 | $141 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 21 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY45545 | CA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.