FORUM EXTENDED CARE SVC INC II
Long Term Care Pharmacy · CHICAGO, IL
Organization Active NPI 1346291499
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,924 | 6,915 | $731,427 | $560,509 | $560,509 |
| 2023 | 1,701 | 4,200 | $392,634 | $303,294 | $303,294 |
| 2022 | 2,582 | 4,653 | $241,952 | $213,085 | $213,085 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,713 | $45 | $45 |
| G0008 | Administration of influenza virus vaccine | 1,585 | $34 | $34 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,581 | $150 | $150 |
| 90662 | Influenza vaccine split virus, preservative free | 1,412 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 175 | $22 | $22 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 154 | $290 | $290 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 141 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 132 | $34 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | 054017240 | IL |
| Pharmacy | 333600000X | 64001297A | IN | |
| Compounding Pharmacy | 3336C0004X | — | — | |
| Home Infusion Therapy Pharmacy | 3336H0001X | — | — | |
| Institutional Pharmacy | 3336I0012X | 1204-43 | WI | |
| Long Term Care Pharmacy | 3336L0003X | — | — | |
| Specialty Pharmacy | 3336S0011X | — | — |
Other Long Term Care Pharmacy providers in Illinois
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- NPI 1154630598
- NPI 1073210167
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.