WHITE DRUG CO OF JAMESTOWN INC
Community/Retail Pharmacy · GRAND FORKS, ND
Organization Active NPI 1316346745
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 479 | 1,578 | $112,355 | $109,349 | $109,349 |
| 2023 | 548 | 1,653 | $126,158 | $119,439 | $119,439 |
| 2022 | 596 | 1,194 | $50,730 | $48,491 | $48,491 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 389 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 385 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 382 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 188 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 161 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 30 | $22 | $22 |
| G0009 | Administration of pneumococcal vaccine | 18 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHAR822 | ND |
| Clinical Medical Laboratory | 291U00000X | — | — | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.