SANFORD MEDICAL CENTER
Community/Retail Pharmacy · CLARK, SD
Organization Active NPI 1407344419
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 79 | 226 | $16,660 | $16,046 | $16,046 |
| 2023 | 108 | 367 | $22,906 | $19,992 | $19,992 |
| 2022 | 167 | 369 | $16,836 | $14,414 | $14,414 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 63 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 44 | $18 | $18 |
| 90653 | Influenza vaccine, inactivated | 44 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 38 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 18 | $157 | $157 |
| 90662 | Influenza vaccine split virus, preservative free | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 100-2053 | SD |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | — | — |
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See all Community/Retail Pharmacy providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.