GRANITE PHARMACY MISSOULA, LLC
Community/Retail Pharmacy · MISSOULA, MT
Organization Active NPI 1447683651
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 512 | $94,900 | $38,278 | $38,278 |
| 2023 | 233 | 675 | $69,918 | $37,716 | $37,716 |
| 2022 | 459 | 1,102 | $77,837 | $42,719 | $42,719 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 135 | $32 | $32 |
| 90480 | Admn sarscov2 vacc 1 dose | 116 | $43 | $43 |
| 90662 | Influenza vaccine split virus, preservative free | 116 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 91 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $152 | $152 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 13 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 18801 | MT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Montana
- NPI 1528014446
- NPI 1669410817
- NPI 1891057634
- NPI 1437105087
- NPI 1851691208
- NPI 1649380262
- NPI 1184978090
- NPI 1972613388
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.