RALPHS GROCERY COMPANY
Community/Retail Pharmacy · SAN CLEMENTE, CA
Organization Active NPI 1407035355
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 260 | 858 | $59,983 | $58,737 | $58,737 |
| 2023 | 253 | 866 | $47,011 | $45,706 | $45,706 |
| 2022 | 367 | 1,467 | $40,731 | $40,036 | $40,036 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 220 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 213 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 198 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 141 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 53 | $152 | $152 |
| G0009 | Administration of pneumococcal vaccine | 11 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY48852 | CA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.