BOLSA EXPRESS PHARMACY, INC.
Community/Retail Pharmacy · WESTMINSTER, CA
Organization Active NPI 1609201664
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 134 | 336 | $90,848 | $29,653 | $29,653 |
| 2023 | 171 | 404 | $62,032 | $27,424 | $27,424 |
| 2022 | 312 | 889 | $51,221 | $28,440 | $28,440 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 88 | $35 | $35 |
| 90653 | Influenza vaccine, inactivated | 77 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 49 | $47 | $47 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 26 | $35 | $35 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $290 | $290 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 17 | $128 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| 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.