JANE PHILLIPS MEMORIAL MEDICAL CENTER INC
Community/Retail Pharmacy · BARTLESVILLE, OK
Organization Active NPI 1326443565
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 90 | 224 | $18,647 | $13,616 | $13,616 |
| 2023 | 122 | 304 | $20,532 | $16,285 | $16,285 |
| 2022 | 131 | 295 | $17,770 | $12,929 | $12,929 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 87 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 67 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 23 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $153 | $153 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 20 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 96964 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.