K-VA-T FOOD STORES INC
Community/Retail Pharmacy · OOLTEWAH, TN
Organization Active NPI 1295102986
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 71 | 198 | $13,915 | $13,574 | $13,574 |
| 2023 | 90 | 221 | $12,260 | $11,851 | $11,851 |
| 2022 | 136 | 384 | $12,708 | $12,261 | $12,261 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 66 | $24 | $24 |
| 90662 | Influenza vaccine split virus, preservative free | 64 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $33 | $33 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| 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.