MITCHELL'S MAIN STREET PHARMACY, INC
Community/Retail Pharmacy · MOUNTAIN VIEW, AR
Organization Active NPI 1447503941
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 186 | 520 | $59,359 | $39,427 | $39,427 |
| 2023 | 376 | 1,975 | $88,548 | $66,376 | $66,376 |
| 2022 | 635 | 3,285 | $102,484 | $73,454 | $73,454 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 142 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 135 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 106 | $39 | $39 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 106 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | AR14641 | AR |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.