STACYS WELLNESS PHARMACY INC
Community/Retail Pharmacy · MCMINNVILLE, TN
Organization Active NPI 1396288551
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 210 | 544 | $39,013 | $36,485 | $36,485 |
| 2023 | 216 | 560 | $38,543 | $35,874 | $35,874 |
| 2022 | 368 | 806 | $40,780 | $36,914 | $36,914 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 204 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 106 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 71 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 52 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 52 | $157 | $157 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 20 | $22 | $22 |
| G0009 | Administration of pneumococcal vaccine | 16 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5899 | TN |
| 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.