AUTARCH MEDICINAL SERVICES, PLLC
Community/Retail Pharmacy · CALERA, OK
Organization Active NPI 1295216638
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 44 | 117 | $17,239 | $12,490 | $12,490 |
| 2023 | 48 | 167 | $9,972 | $7,523 | $7,523 |
| 2022 | 68 | 163 | $9,565 | $6,428 | $6,428 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 21 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 19 | $29 | $29 |
| 90480 | Admn sarscov2 vacc 1 dose | 18 | $39 | $39 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 18 | $158 | $158 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 27-8253 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Community/Retail Pharmacy providers in Oklahoma
- NPI 1841546249
- NPI 1194650630
- NPI 1215448337
- NPI 1053649327
- NPI 1215202064
- NPI 1417661760
- NPI 1790718567
- NPI 1992309876
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.