PENOBSCOT COMMUNITY HEALTH CENTER
Community/Retail Pharmacy · OLD TOWN, ME
Organization Active NPI 1316136302
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 15 | 30 | $5,217 | $4,751 | $4,751 |
| 2023 | 20 | 40 | $7,744 | $6,121 | $6,121 |
| 2022 | 14 | 27 | $4,709 | $3,889 | $3,889 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $287 | $287 |
| G0009 | Administration of pneumococcal vaccine | 15 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH50001432 | ME |
| Clinic Pharmacy | 3336C0002X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — |
Other Community/Retail Pharmacy providers in Maine
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.