MP SOUTHPARK PHARMACY LLC
Long Term Care Pharmacy · SAN ANGELO, TX
Organization Active NPI 1427081447
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 121 | 242 | $14,000 | $13,065 | $13,065 |
| 2023 | 235 | 474 | $28,404 | $24,882 | $24,882 |
| 2022 | 325 | 653 | $34,358 | $31,450 | $31,450 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 121 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 105 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | 31522 | TX | |
| Compounding Pharmacy | 3336C0004X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.