S D M INC
Community/Retail Pharmacy · LEXINGTON, TN
Organization Active NPI 1518147941
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 61 | 166 | $42,770 | $12,510 | $12,510 |
| 2023 | 864 | 10,792 | $503,167 | $131,318 | $131,318 |
| 2022 | 1,035 | 10,915 | $343,489 | $135,429 | $135,429 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 57 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 16 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000004445 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.