KIMBERLY HOMETOWN PHARMACY LLC
Community/Retail Pharmacy · APPLETON, WI
Organization Active NPI 1295291045
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 40 | 130 | $10,474 | $9,858 | $9,858 |
| 2023 | 58 | 247 | $11,674 | $11,240 | $11,240 |
| 2022 | 144 | 735 | $17,117 | $15,852 | $15,852 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 33 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 31 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 30 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.