PRODIGIOUS INDUSTRIES LLC
Pharmacy · MESQUITE, TX
Organization Active NPI 1477819266
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 40 | 148 | $14,092 | $12,552 | $12,552 |
| 2023 | 169 | 443 | $26,994 | $24,826 | $24,826 |
| 2022 | 84 | 191 | $6,871 | $6,094 | $6,094 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 28 | $16 | $16 |
| 90480 | Admn sarscov2 vacc 1 dose | 27 | $43 | $43 |
| 90658 | Influenza vaccine, trivalent, 0.5 ml dosage | 27 | $21 | $21 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 19 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 27978 | TX |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.