SAMS WEST INC
Community/Retail Pharmacy · MANKATO, MN
Organization Active NPI 1417299793
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 227 | 876 | $62,936 | $61,599 | $61,599 |
| 2023 | 321 | 1,552 | $82,257 | $80,602 | $80,602 |
| 2022 | 406 | 2,281 | $54,043 | $52,864 | $52,864 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 219 | $15 | $15 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 202 | $146 | $146 |
| G0008 | Administration of influenza virus vaccine | 198 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 189 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 21 | $22 | $22 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $289 | $289 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 264106 | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Minnesota
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.