K VA T FOOD STORES, INC.
Community/Retail Pharmacy · HIXSON, TN
Organization Active NPI 1366828832
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 20 | 58 | $4,183 | $4,100 | $4,100 |
| 2023 | 21 | 62 | $3,660 | $3,506 | $3,506 |
| 2022 | 35 | 103 | $3,133 | $3,009 | $3,009 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 17 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 17 | $24 | $24 |
| 90480 | Admn sarscov2 vacc 1 dose | 12 | $33 | $33 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 12 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1225325566
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- NPI 1730654708
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.