SANFORD MEDICAL CENTER
Community/Retail Pharmacy · MITCHELL, SD
Organization Active NPI 1356626972
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 491 | 1,256 | $100,844 | $97,032 | $97,032 |
| 2023 | 581 | 1,583 | $87,544 | $84,246 | $84,246 |
| 2022 | 875 | 2,011 | $78,547 | $76,420 | $76,420 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 418 | $29 | $29 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 235 | $158 | $158 |
| 90653 | Influenza vaccine, inactivated | 196 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 144 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 77 | $20 | $20 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 72 | $142 | $142 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 63 | $36 | $36 |
| G0009 | Administration of pneumococcal vaccine | 18 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $284 | $284 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 100-1968 | SD |
| 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.