BANNER PHARMACY SERVICES LLC
Community/Retail Pharmacy · GLENDALE, AZ
Organization Active NPI 1417545534
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 63 | 152 | $17,189 | $16,634 | $16,634 |
| 2023 | 164 | 349 | $35,634 | $34,288 | $34,288 |
| 2022 | 63 | 85 | $14,789 | $14,522 | $14,522 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 37 | $41 | $41 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | $140 | $140 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 30 | $10 | $10 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| 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.