SG PHARMACY INC
Community/Retail Pharmacy · CULVER CITY, CA
Organization Active NPI 1548275167
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 40 | 167 | $12,767 | $11,339 | $11,339 |
| 2023 | 193 | 2,913 | $46,933 | $42,620 | $42,620 |
| 2022 | 212 | 2,067 | $39,188 | $35,024 | $35,024 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 47 | $41 | $41 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $46 | $46 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 30 | $153 | $153 |
| G0008 | Administration of influenza virus vaccine | 30 | $34 | $34 |
| 90662 | Influenza vaccine split virus, preservative free | 19 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 48890 | CA |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.