PELHAM COMMUNITY PHARMACY, INC
Long Term Care Pharmacy · WALTHAM, MA
Organization Active NPI 1598889172
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 1,104 | $112,455 | $67,951 | $67,951 |
| 2023 | 710 | 6,399 | $568,278 | $222,238 | $222,238 |
| 2022 | 1,819 | 40,864 | $2,077,848 | $1,180,729 | $1,180,729 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 329 | $34 | $34 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 257 | $22 | $22 |
| 90480 | Admn sarscov2 vacc 1 dose | 223 | $46 | $46 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 200 | $158 | $158 |
| 90653 | Influenza vaccine, inactivated | 44 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 27 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 23 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | ✓ | DS89647 | MA |
| Pharmacy | 333600000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — |
Other Long Term Care Pharmacy providers in Massachusetts
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See all Long Term Care Pharmacy providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.