200 CHESTNUT ST LLC
Community/Retail Pharmacy · ROSELLE PARK, NJ
Organization Active NPI 1508801713
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 38 | 101 | $8,557 | $7,333 | $7,333 |
| 2023 | 60 | 180 | $13,609 | $10,785 | $10,785 |
| 2022 | 97 | 243 | $14,523 | $8,637 | $8,637 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 32 | $36 | $36 |
| 90653 | Influenza vaccine, inactivated | 30 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 20 | $151 | $151 |
| 90480 | Admn sarscov2 vacc 1 dose | 15 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 28RS00660900 | NJ |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in New Jersey
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.