4977, LLC
Pharmacy · BRIDGETON, NJ
Organization Active NPI 1538274311
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 354 | $29,474 | $27,838 | $27,838 |
| 2023 | 142 | 337 | $25,574 | $23,690 | $23,690 |
| 2022 | 303 | 576 | $28,732 | $27,004 | $27,004 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 89 | $32 | $32 |
| 90480 | Admn sarscov2 vacc 1 dose | 86 | $46 | $46 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 86 | $156 | $156 |
| 90662 | Influenza vaccine split virus, preservative free | 68 | $82 | $82 |
| 90653 | Influenza vaccine, inactivated | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | RS005859 | NJ |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.