110 VAN HOUTEN LLC
Community/Retail Pharmacy · PASSAIC, NJ
Organization Active NPI 1336665827
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 205 | 410 | $39,898 | $23,332 | $23,332 |
| 2023 | 49 | 398 | $14,779 | $4,969 | $4,969 |
| 2022 | 105 | 864 | $68,741 | $11,725 | $11,725 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 205 | $36 | $36 |
| 90653 | Influenza vaccine, inactivated | 193 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 12 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.