ELLENTON DISCOUNT PHARMACY LLC
Community/Retail Pharmacy · PARRISH, FL
Organization Active NPI 1407214885
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 92 | 345 | $26,733 | $25,778 | $25,778 |
| 2023 | 163 | 835 | $38,876 | $32,372 | $32,372 |
| 2022 | 246 | 722 | $37,898 | $21,249 | $21,249 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 73 | $42 | $42 |
| G0008 | Administration of influenza virus vaccine | 71 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 57 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 56 | $157 | $157 |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 39 | $37 | $37 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 17 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PH29831 | FL |
| 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.