GRADE A SHOP RITE COMMERCE RD LLC
Community/Retail Pharmacy · STAMFORD, CT
Organization Active NPI 1376656777
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 462 | 1,470 | $121,209 | $114,573 | $114,573 |
| 2023 | 524 | 1,553 | $118,168 | $107,693 | $107,693 |
| 2022 | 628 | 1,314 | $66,599 | $61,632 | $61,632 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 385 | $32 | $32 |
| 90480 | Admn sarscov2 vacc 1 dose | 326 | $45 | $45 |
| 90662 | Influenza vaccine split virus, preservative free | 305 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 185 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 141 | $157 | $157 |
| 90653 | Influenza vaccine, inactivated | 61 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 24 | $34 | $34 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $290 | $290 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 16 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PCY2047 | CT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Connecticut
- NPI 1235640327
- NPI 1518425578
- NPI 1578147864
- NPI 1053676387
- NPI 1538268859
- NPI 1376683284
- NPI 1396709853
- NPI 1689989782
See all Community/Retail Pharmacy providers in Connecticut →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.