DAVIS-BURKETT FOOD CORP
Pharmacy · ROOSEVELT, UT
Organization Active NPI 1528198421
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 36 | 98 | $6,406 | $6,248 | $6,248 |
| 2023 | 38 | 91 | $5,457 | $5,198 | $5,198 |
| 2022 | 42 | 96 | $4,634 | $3,428 | $3,428 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 33 | $24 | $24 |
| 90480 | Admn sarscov2 vacc 1 dose | 15 | $28 | $28 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 15 | $156 | $156 |
| 90653 | Influenza vaccine, inactivated | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 5777367-1703 | UT |
| Community/Retail Pharmacy | 3336C0003X | 5777367-1703 | UT |
Other Pharmacy providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.