SMITHS FOOD & DRUG CENTERS INC
Community/Retail Pharmacy · GREEN RIVER, WY
Organization Active NPI 1568487197
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 527 | 2,042 | $152,896 | $149,772 | $149,772 |
| 2023 | 618 | 2,062 | $138,793 | $135,384 | $135,384 |
| 2022 | 589 | 1,807 | $78,568 | $76,961 | $76,961 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 485 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 463 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 434 | $27 | $27 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 262 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 157 | $147 | $147 |
| G0009 | Administration of pneumococcal vaccine | 102 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | $291 | $291 |
| 90732 | Pneumococcal vaccine, 23-valent | 23 | $131 | $131 |
| 90671 | Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use | 17 | $248 | $248 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 16 | $82 | $82 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 15 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5201998 | WY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.