K VA T FOOD STORES, INC.
Community/Retail Pharmacy · HIXSON, TN
Organization Active NPI 1497121768
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 75 | 194 | $12,941 | $12,634 | $12,634 |
| 2023 | 70 | 163 | $9,132 | $8,822 | $8,822 |
| 2022 | 127 | 458 | $11,779 | $11,300 | $11,300 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 70 | $24 | $24 |
| 90662 | Influenza vaccine split virus, preservative free | 69 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 26 | $34 | $34 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.