MABIE PHARMACY, LLC
Community/Retail Pharmacy · COTTAGE GROVE, WI
Organization Active NPI 1508376682
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,361 | 4,995 | $432,962 | $388,896 | $388,896 |
| 2023 | 1,627 | 6,091 | $394,312 | $293,139 | $293,139 |
| 2022 | 2,467 | 10,329 | $569,014 | $282,785 | $282,785 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,327 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,327 | $154 | $154 |
| G0008 | Administration of influenza virus vaccine | 1,133 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 1,084 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 47 | $22 | $22 |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 44 | $36 | $36 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 13 | $24 | $24 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9483-042 | WI |
| Health Service Clinic/Center | 261QH0100X | — | — | |
| Long Term Care Pharmacy | 3336L0003X | 9483-042 | WI | |
| Specialty Pharmacy | 3336S0011X | 9483-042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.