RT FAMILY DISCOUNT PHARMACY INC.
Community/Retail Pharmacy · PONCA CITY, OK
Organization Active NPI 1316029119
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 600 | $52,714 | $44,837 | $44,837 |
| 2023 | 432 | 6,590 | $163,956 | $102,422 | $102,422 |
| 2022 | 587 | 2,764 | $141,572 | $60,893 | $60,893 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 194 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 181 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $158 | $158 |
| 90480 | Admn sarscov2 vacc 1 dose | 82 | $38 | $38 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 24 | $30 | $30 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 6-5546 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.