MANNFORD PHARMACY LLC
Community/Retail Pharmacy · MANNFORD, OK
Organization Active NPI 1295241867
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 56 | 138 | $14,804 | $8,448 | $8,448 |
| 2023 | 41 | 110 | $10,067 | $8,139 | $8,139 |
| 2022 | 26 | 54 | $3,470 | $2,599 | $2,599 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 46 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 22 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 19 | $149 | $149 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 18 | $22 | $22 |
| 90653 | Influenza vaccine, inactivated | 17 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 11 | $71 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | 11-8083 | OK |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.