BLACK ROCK PHARMACY LLC

Community/Retail Pharmacy · FAIRFIELD, CT

Organization Active NPI 1295209773

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244771,396$113,139$106,049$106,049
20235311,642$128,048$118,566$118,566
20226492,137$77,783$73,612$73,612

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine412$33$33
90653Influenza vaccine, inactivated387$82$82
90480Admn sarscov2 vacc 1 dose263$45$45
91322Sarscov2 vac 50 mcg/0.5ml im196$156$156
91320Sarscv2 vac 30mcg trs-suc im67$147$147
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use23$288$288
G0009Administration of pneumococcal vaccine23$33$33
90661Influenza vaccine, trivalent derived from cell cultures14$36$36

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.