SANFORD HEALTH NETWORK
Pharmacy · WESSINGTON SPRINGS, SD
Organization Active NPI 1396158515
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 83 | 203 | $15,548 | $15,233 | $15,233 |
| 2023 | 82 | 205 | $12,020 | $11,780 | $11,780 |
| 2022 | 64 | 152 | $5,700 | $5,561 | $5,561 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 58 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 36 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 34 | $10 | $10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 34 | $148 | $148 |
| 90653 | Influenza vaccine, inactivated | 20 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Community/Retail Pharmacy | 3336C0003X | 1002002 | SD | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
Other Pharmacy providers in South Dakota
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.