412 FAMILY PHARMACY, LLC
Community/Retail Pharmacy · LOCUST GROVE, OK
Organization Active NPI 1417661760
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 20 | 62 | $6,860 | $4,659 | $4,659 |
| 2023 | 47 | 130 | $14,143 | $9,518 | $9,518 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 16 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 16 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 15 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 14 | $81 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
Other Community/Retail Pharmacy providers in Oklahoma
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.