SAM'S WEST, INC.
Community/Retail Pharmacy · GURNEE, IL
Organization Active NPI 1306863691
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 164 | 603 | $48,414 | $47,446 | $47,446 |
| 2023 | 204 | 783 | $43,781 | $42,905 | $42,905 |
| 2022 | 245 | 832 | $31,609 | $31,025 | $31,025 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 132 | $13 | $13 |
| G0008 | Administration of influenza virus vaccine | 129 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 125 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 123 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 39 | $13 | $13 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $290 | $290 |
| 90684 | Pcv21 vaccine im | 18 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 54014456 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Illinois
- NPI 1083485163
- NPI 1285680967
- NPI 1588996136
- NPI 1801144951
- NPI 1487085288
- NPI 1760684088
- NPI 1386661650
- NPI 1255415386
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.