SRI RX LLC
Community/Retail Pharmacy · BETHEL, CT
Organization Active NPI 1396172524
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 404 | 1,298 | $151,773 | $101,278 | $101,278 |
| 2023 | 400 | 1,135 | $123,404 | $79,705 | $79,705 |
| 2022 | 573 | 1,301 | $110,448 | $62,415 | $62,415 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 360 | $34 | $34 |
| 90653 | Influenza vaccine, inactivated | 333 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 271 | $45 | $45 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 234 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 18 | $34 | $34 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | $76 | $76 |
| 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 | ✓ | PCY.0002208 | CT |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.