DELSEA DRIVE SUPERMARKET, LLC
Community/Retail Pharmacy · VINELAND, NJ
Organization Active NPI 1487769261
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 34 | 88 | $6,983 | $6,566 | $6,566 |
| 2023 | 29 | 60 | $3,571 | $3,345 | $3,345 |
| 2022 | 22 | 46 | $2,476 | $2,304 | $2,304 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 28 | $32 | $32 |
| 90662 | Influenza vaccine split virus, preservative free | 24 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 13 | $46 | $46 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 13 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Pharmacy | 333600000X | RS005755 | NJ |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.